Sign In
Coverage
Check coverage
Home
Ampicillin - Ampicillin injection, Powder, For Solution
Highmark Blue Cross Blue Shield of Western New York
Highmark Blue Cross Blue Shield of Western New York Coverage for Ampicillin - Ampicillin injection, Powder, For Solution
Filter plans by coverage channel
All
9
Commercial
4
Health Exchange
2
Managed Medicaid
1
Medicare
2
Commercial
Commercial - Employer
No PA
No Step Therapy
No Quantity Limit
See Details
Commercial - HMO
No PA
No Step Therapy
No Quantity Limit
See Details
Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
See Details
Commercial - Point of Service
No PA
No Step Therapy
No Quantity Limit
See Details
Health Exchange
Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
See Details
Health Exchange - POS - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
See Details
Medicare
Medicare - Prescription Drug Plan
No PA
No Step Therapy
No Quantity Limit
See Details
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Ampicillin - Ampicillin injection, Powder, For Solution
Check medication interactions
Screen for drug-drug and drug-condition conflicts.