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Acyclovir - Acyclovir capsule
Group Health Cooperative of South Central Wisconsin (MCO)
Group Health Cooperative of South Central Wisconsin (MCO) Coverage for Acyclovir - Acyclovir capsule
All
6
Commercial
4
Health Exchange
1
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
See Details
Commercial - Point of Service
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
No PA
No Step Therapy
Quantity Limit
See Details
Support for Getting Your Patient on Acyclovir - Acyclovir capsule
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Does Group Health Cooperative of South Central Wisconsin Cover Acyclovir? 6 Plans (2026)