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Acetaminophen And Codeine Phosphate - Acetaminophen And Codeine Phosphate tablet
The Health Plan (of the Upper Ohio Valley)
The Health Plan (of the Upper Ohio Valley) Coverage for Acetaminophen And Codeine Phosphate - Acetaminophen And Codeine Phosphate tablet
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All
5
Commercial
3
Managed Medicaid
1
Medicare
1
Commercial
Commercial - HMO
No PA
Step Therapy
Quantity Limit
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Commercial - PPO
No PA
Step Therapy
Quantity Limit
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Commercial - Point of Service
No PA
Step Therapy
Quantity Limit
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Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
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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