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Maxitrol - Neomycin Sulfate, Polymyxin B Sulfate And Dexamethasone suspension
Sutter Health Plus (MCO)
Sutter Health Plus (MCO) Coverage for Maxitrol - Neomycin Sulfate, Polymyxin B Sulfate And Dexamethasone suspension
All
2
Commercial
2
Commercial
Commercial - Employer
PA Required
No Step Therapy
No Quantity Limit
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Commercial - HMO
PA Required
No Step Therapy
No Quantity Limit
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Support for Getting Your Patient on Maxitrol - Neomycin Sulfate, Polymyxin B Sulfate And Dexamethasone suspension
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