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Icotyde
State of New York (MCO)
State of New York (MCO) Coverage for Icotyde
All
3
Commercial
1
State Medicaid
2
Commercial
Commercial - Employer
PA Required
No Step Therapy
No Quantity Limit
See Details
State Medicaid
State Medicaid - State Medicaid
PA Required
No Step Therapy
No Quantity Limit
See Details
State Medicaid - AIDS Drug Assistance Program
No PA
No Step Therapy
No Quantity Limit
See Details