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Acetaminophen And Codeine Phosphate - Acetaminophen And Codeine Phosphate tablet
Denver Health Medical Plan (MCO)
Denver Health Medical Plan (MCO) Coverage for Acetaminophen And Codeine Phosphate - Acetaminophen And Codeine Phosphate tablet
All
4
Health Exchange
2
Managed Medicaid
1
Medicare
1
Health Exchange
Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
Quantity Limit
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Health Exchange - HDHP - 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
See Details
Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
Quantity Limit
See Details
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