Biotene moisturizing mouth spray 1.5 fl. oz.
SUGGESTED REPLACEMENT:
922-00438 Act total care dry mouth rinse mint 18 oz.

This information is issued on behalf of Highmark Wholecare, coverage by Gateway Health Plan, which is an independent licensee of the Blue Cross Blue Shield Association. Highmark Wholecare serves a Medicaid plan to Blue Shield members in 13 counties in central Pennsylvania, as well as, to Blue Cross Blue Shield members in 27 counties in western Pennsylvania. Highmark Wholecare serves Medicare Dual Special Needs plans (D-SNP) to Blue Shield members in 14 counties in northeastern Pennsylvania, 12 counties in central Pennsylvania, 5 counties in southeastern Pennsylvania, and to Blue Cross Blue Shield members in 27 counties in western Pennsylvania.

View Highmark Wholecare’s Nondiscrimination notice here.

Fieldtex is a separate company that administers the OTC, Home Safety, and Air Quality Equipment benefits for Highmark Wholecare.