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Butalbital, Acetaminophen, And Caffeine - Butalbital, Acetaminophen, And Caffeine tablet
Jefferson Health Plans (MCO)
Jefferson Health Plans (MCO) Coverage for Butalbital, Acetaminophen, And Caffeine - Butalbital, Acetaminophen, And Caffeine tablet
All
4
Health Exchange
2
Managed Medicaid
1
Medicare
1
Health Exchange
Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
Quantity Limit
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Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
Quantity Limit
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
PA Required
No Step Therapy
Quantity Limit
See Details
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Does Jefferson Health Plans Cover Butalbital, Acetaminophen, And Caffeine? 4 Plans (2026)