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Periogard Alcohol Free - Chlorhexidine Gluconate rinse
First Medical Health Plan
First Medical Health Plan Coverage for Periogard Alcohol Free - Chlorhexidine Gluconate rinse
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2
Commercial
1
Managed Medicaid
1
Commercial
Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
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Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
No Quantity Limit
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Support for Getting Your Patient on Periogard Alcohol Free - Chlorhexidine Gluconate rinse
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