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Acuvail - Ketorolac Tromethamine solution/ Drops
Health Plan of Nevada
Health Plan of Nevada Coverage for Acuvail - Ketorolac Tromethamine solution/ Drops
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6
Commercial
4
Health Exchange
1
Managed Medicaid
1
Commercial
Commercial - Employer
No PA
No Step Therapy
No Quantity Limit
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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 - Other Insurer
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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Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
Step Therapy
No Quantity Limit
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