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Ativan - Lorazepam tablet
Metroplus Health Plan
Metroplus Health Plan Coverage for Ativan - Lorazepam tablet
All
3
Health Exchange
1
Managed Medicaid
1
Medicare
1
Health Exchange
Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
Quantity Limit
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Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
Step Therapy
Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
Quantity Limit
See Details
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