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Ampicillin Sodium And Sulbactam Sodium - Ampicillin Sodium, Sulbactam Sodium injection, Powder, For Solution
CareFirst BlueCross BlueShield
CareFirst BlueCross BlueShield Coverage for Ampicillin Sodium And Sulbactam Sodium - Ampicillin Sodium, Sulbactam Sodium injection, Powder, For Solution
All
10
Commercial
5
Health Exchange
2
Managed Medicaid
1
Medicare
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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Support for Getting Your Patient on Ampicillin Sodium And Sulbactam Sodium - Ampicillin Sodium, Sulbactam Sodium injection, Powder, For Solution
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