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Levorphanol Tartrate - Levorphanol Tartrate tablet
Blue Cross Blue Shield of Arizona
Blue Cross Blue Shield of Arizona Coverage for Levorphanol Tartrate - Levorphanol Tartrate tablet
All
4
Commercial
2
Health Exchange
1
Medicare
1
Commercial
Commercial - PPO
PA Required
No Step Therapy
Quantity Limit
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Commercial - HMO
PA Required
No Step Therapy
Quantity Limit
See Details
Health Exchange
Health Exchange - HMO - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
See Details
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Does Blue Cross Blue Shield of Arizona Cover Levorphanol Tartrate? 4 Plans (2026)