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Gocovri - Amantadine capsule, Coated Pellets
Quartz Health Solutions (MCO)
Quartz Health Solutions (MCO) Coverage for Gocovri - Amantadine capsule, Coated Pellets
All
6
Commercial
3
Health Exchange
1
Managed Medicaid
1
Medicare
1
Commercial
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 - Point of Service
No PA
No Step Therapy
No Quantity Limit
See Details
Health Exchange
Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
Step Therapy
No Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Gocovri - Amantadine capsule, Coated Pellets
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Does Quartz Health Solutions Cover Gocovri? 6 Plans (2026)