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Ampicillin - Ampicillin capsule
Blue Cross and Blue Shield of Massachusetts
Blue Cross and Blue Shield of Massachusetts Coverage for Ampicillin - Ampicillin capsule
All
6
Commercial
4
Health Exchange
1
Medicare
1
Commercial
Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
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Commercial - Point of Service
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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Health Exchange
Health Exchange - HMO - Health Insurance Exchange
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
See Details
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