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Levofloxacin - Levofloxacin In 5% Dextrose injection, Solution
MVP Health Care
MVP Health Care Coverage for Levofloxacin - Levofloxacin In 5% Dextrose injection, Solution
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8
Commercial
3
Health Exchange
2
Managed Medicaid
1
Medicare
2
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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Health Exchange
Health Exchange - HDHP - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Managed Medicaid
Managed Medicaid - HMO - Medicaid
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
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Medicare - Prescription Drug Plan
No PA
No Step Therapy
No Quantity Limit
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