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Periogard Alcohol Free - Chlorhexidine Gluconate rinse
Imperial Health Plan (MCO)
Imperial Health Plan (MCO) Coverage for Periogard Alcohol Free - Chlorhexidine Gluconate rinse
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Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
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