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Butorphanol Tartrate - Butorphanol Tartrate spray, Metered
QCA Health Plan
QCA Health Plan Coverage for Butorphanol Tartrate - Butorphanol Tartrate spray, Metered
All
3
Commercial
3
Commercial
Commercial - Other Insurer
PA Required
No Step Therapy
Quantity Limit
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Commercial - Point of Service
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - PPO
PA Required
No Step Therapy
Quantity Limit
See Details
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