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Acyclovir Sodium - Acyclovir Sodium injection, Solution
OptumRx (MCO)
OptumRx (MCO) Coverage for Acyclovir Sodium - Acyclovir Sodium injection, Solution
All
3
Commercial
2
Medicare
1
Commercial
Commercial - Employer
No PA
No Step Therapy
No Quantity Limit
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Commercial - PBM Offering
No PA
No Step Therapy
No Quantity Limit
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Medicare
Medicare - Prescription Drug Plan
PA Required
No Step Therapy
No Quantity Limit
See Details
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