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Cleancare Chlorhexidine Gluconate 0.12% Oral Rinse - Chlorhexidine Gluconate solution
Health Alliance Plan (HAP)
Health Alliance Plan (HAP) Coverage for Cleancare Chlorhexidine Gluconate 0.12% Oral Rinse - Chlorhexidine Gluconate solution
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5
Commercial
4
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1
Commercial
Commercial - Other Insurer
No PA
No Step Therapy
No Quantity Limit
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Commercial - HMO
No PA
No Step Therapy
No Quantity Limit
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Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
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Commercial - Employer
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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