Sign In
Coverage
Check coverage
Home
Acyclovir - Acyclovir injection, Solution
Neighborhood Health Plan of Rhode Island (MCO)
Neighborhood Health Plan of Rhode Island (MCO) Coverage for Acyclovir - Acyclovir injection, Solution
All
3
Health Exchange
1
Managed Medicaid
1
Medicare
1
Health Exchange
Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
PA Required
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Acyclovir - Acyclovir injection, Solution
Check medication interactions
Does Neighborhood Health Plan of Rhode Island Cover Acyclovir? 3 Plans (2026)