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Polocaine - Mepivacaine Hydrochloride injection, Solution
Blue Cross and Blue Shield of Texas
Blue Cross and Blue Shield of Texas Coverage for Polocaine - Mepivacaine Hydrochloride injection, Solution
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6
Commercial
3
Health Exchange
2
Managed Medicaid
1
Commercial
Commercial - HMO
No PA
No Step Therapy
No Quantity Limit
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Commercial - PPO
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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Health Exchange - POS - 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
See Details
Support for Getting Your Patient on Polocaine - Mepivacaine Hydrochloride injection, Solution
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