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Dicyclomine Hydrochloride - Dicyclomine Hydrochloride capsule
Horizon Blue Cross and Blue Shield of New Jersey
Horizon Blue Cross and Blue Shield of New Jersey Coverage for Dicyclomine Hydrochloride - Dicyclomine Hydrochloride capsule
All
7
Commercial
4
Health Exchange
1
Medicare
2
Commercial
Commercial - HMO
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 - Point of Service
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 - PPO - Health Insurance Exchange
PA Required
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
See Details
Support for Getting Your Patient on Dicyclomine Hydrochloride - Dicyclomine Hydrochloride capsule
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Does Horizon Blue Cross and Blue Shield of New Jersey Cover Dicyclomine Hydrochloride? 7 Plans (2026)