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Xylocaine - Lidocaine Hydrochloride And Epinephrine Bitartrate injection, Solution
Contra Costa Health Plan
Contra Costa Health Plan Coverage for Xylocaine - Lidocaine Hydrochloride And Epinephrine Bitartrate injection, Solution
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4
Commercial
2
Managed Medicaid
1
Medicare
1
Commercial
Commercial - HMO
PA Required
No Step Therapy
No Quantity Limit
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Commercial - Employer
PA Required
No Step Therapy
No Quantity Limit
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Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
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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Support for Getting Your Patient on Xylocaine - Lidocaine Hydrochloride And Epinephrine Bitartrate injection, Solution
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Screen for drug-drug and drug-condition conflicts.