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Acyclovir - Acyclovir ointment
Express Scripts (ESI)
Express Scripts (ESI) Coverage for Acyclovir - Acyclovir ointment
All
3
Commercial
2
Medicare
1
Commercial
Commercial - Employer
No PA
Step Therapy
Quantity Limit
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Commercial - PBM Offering
No PA
No Step Therapy
No Quantity Limit
See Details
Medicare
Medicare - Prescription Drug Plan
PA Required
No Step Therapy
Quantity Limit
See Details
Support for Getting Your Patient on Acyclovir - Acyclovir ointment
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Does Express Scripts (ESI) Cover Acyclovir? 3 Plans (2026)