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Acyclovir - Acyclovir ointment
Contra Costa Health Plan
Contra Costa Health Plan Coverage for Acyclovir - Acyclovir ointment
All
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
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
No Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Acyclovir - Acyclovir ointment
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Does Contra Costa Health Plan Cover Acyclovir? 4 Plans (2026)