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Acamprosate Calcium - Acamprosate Calcium Enteric - Coated tablet, Delayed Release
Presbyterian Health Plan
Presbyterian Health Plan Coverage for Acamprosate Calcium - Acamprosate Calcium Enteric - Coated tablet, Delayed Release
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7
Commercial
4
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1
Managed Medicaid
1
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1
Commercial
Commercial - PPO
No PA
No Step Therapy
Quantity Limit
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Commercial - HMO
No PA
No Step Therapy
Quantity Limit
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Commercial - Employer
No PA
No Step Therapy
Quantity Limit
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Commercial - Other Insurer
No PA
No Step Therapy
Quantity Limit
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Health Exchange
Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
Quantity Limit
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Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
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