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Levorphanol Tartrate - Levorphanol Tartrate tablet
First Medical Health Plan
First Medical Health Plan Coverage for Levorphanol Tartrate - Levorphanol Tartrate tablet
All
2
Commercial
1
Managed Medicaid
1
Commercial
Commercial - PPO
PA Required
No Step Therapy
No Quantity Limit
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Levorphanol Tartrate - Levorphanol Tartrate tablet
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Does First Medical Health Plan Cover Levorphanol Tartrate? 2 Plans (2026)