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Levetiracetam - Levetiracetam tablet, Film Coated
Prominence Health Plan
Prominence Health Plan Coverage for Levetiracetam - Levetiracetam tablet, Film Coated
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4
Commercial
3
Medicare
1
Commercial
Commercial - HMO
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 - PPO
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
See Details
Support for Getting Your Patient on Levetiracetam - Levetiracetam tablet, Film Coated
Check medication interactions
Screen for drug-drug and drug-condition conflicts.
Does Prominence Health Plan Cover Levetiracetam? 4 Plans (2026)