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Acyclovir - Acyclovir ointment
Indiana University Health Plans
Indiana University Health Plans Coverage for Acyclovir - Acyclovir ointment
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2
Commercial
2
Commercial
Commercial - PPO
PA Required
No Step Therapy
Quantity Limit
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Commercial - HMO
PA Required
No Step Therapy
Quantity Limit
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Support for Getting Your Patient on Acyclovir - Acyclovir ointment
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Does Indiana University Health Plans Cover Acyclovir? 2 Plans (2026)