Covered by Medicaid: Pharmacy Benefit

Covered by Medicaid: Pharmacy Benefit
Gelmix and Purathick are covered with a prescription as an over the counter (OTC) pharmacy benefit. Prior authorization and a prescription are required. Ask your pharmacy if they can order or submit prescription to one of the pharmacies below. The product’s national drug codes (NDC) are: Gelmix sticks: NDC 55764000711, Gelmix Jar: NDC 55764000702, Purathick sticks NDC 55764000709, Purathick Jar NDC 55764000703.