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Amoxicillin And Clavulanate Potassium - Amoxicillin And Clavulanate Potassium tablet, Film Coated
CareFirst BlueCross BlueShield
CareFirst BlueCross BlueShield Coverage for Amoxicillin And Clavulanate Potassium - Amoxicillin And Clavulanate Potassium tablet, Film Coated
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10
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5
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2
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1
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2
Commercial
Commercial - Point of Service
No PA
No Step Therapy
No Quantity Limit
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Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
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Commercial - HMO
No PA
No Step Therapy
No Quantity Limit
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Commercial - Employer
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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Health Exchange
Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
No Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
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Medicare - Prescription Drug Plan
No PA
No Step Therapy
No Quantity Limit
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