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Acyclovir Sodium - Acyclovir Sodium injection, Solution
Triple-S
Triple-S Coverage for Acyclovir Sodium - Acyclovir Sodium injection, Solution
All
5
Commercial
2
Managed Medicaid
1
Medicare
2
Commercial
Commercial - PPO
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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Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
PA Required
No Step Therapy
No Quantity Limit
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Medicare - Prescription Drug Plan
PA Required
No Step Therapy
No Quantity Limit
See Details
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