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Impavido - Miltefosine capsule
State of California (MCO)
State of California (MCO) Coverage for Impavido - Miltefosine capsule
All
4
Commercial
2
State Medicaid
2
Commercial
Commercial - Other Insurer
PA Required
No Step Therapy
No Quantity Limit
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Commercial - HMO
No PA
No Step Therapy
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
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Does State of California Cover Impavido? 4 Plans (2026)