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Acetaminophen And Codeine - Acetaminophen And Codeine tablet
Health Alliance Plan (HAP)
Health Alliance Plan (HAP) Coverage for Acetaminophen And Codeine - Acetaminophen And Codeine tablet
All
5
Commercial
4
Medicare
1
Commercial
Commercial - Other Insurer
No PA
No Step Therapy
Quantity Limit
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Commercial - HMO
No PA
No Step Therapy
Quantity Limit
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Commercial - PPO
No PA
No Step Therapy
Quantity Limit
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Commercial - Employer
No PA
No Step Therapy
Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
Quantity Limit
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