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Chlorothiazide Sodium - Chlorothiazide Sodium injection, Powder, Lyophilized, For Solution
Blue Cross and Blue Shield of New Mexico (MCO)
Blue Cross and Blue Shield of New Mexico (MCO) Coverage for Chlorothiazide Sodium - Chlorothiazide Sodium injection, Powder, Lyophilized, For Solution
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5
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3
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1
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1
Commercial
Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
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Commercial - HMO
No PA
No Step Therapy
No Quantity Limit
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Commercial - Employer
No PA
No Step Therapy
No Quantity Limit
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Health Exchange
Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
No Quantity Limit
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Support for Getting Your Patient on Chlorothiazide Sodium - Chlorothiazide Sodium injection, Powder, Lyophilized, For Solution
Check medication interactions
Screen for drug-drug and drug-condition conflicts.