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Levorphanol Tartrate - Levorphanol Tartrate tablet
Blue Cross of Idaho
Blue Cross of Idaho Coverage for Levorphanol Tartrate - Levorphanol Tartrate tablet
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4
Commercial
2
Health Exchange
1
Medicare
1
Commercial
Commercial - PPO
PA Required
Step Therapy
Quantity Limit
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Commercial - Employer
PA Required
Step Therapy
Quantity Limit
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Health Exchange
Health Exchange - POS - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
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