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Levorphanol Tartrate - Levorphanol Tartrate tablet
Kaiser Foundation Health Plan of Washington
Kaiser Foundation Health Plan of Washington Coverage for Levorphanol Tartrate - Levorphanol Tartrate tablet
All
5
Commercial
4
Health Exchange
1
Commercial
Commercial - HMO
PA Required
No Step Therapy
Quantity Limit
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Commercial - PPO
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - Employer
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - Other Insurer
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
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Does Kaiser Foundation Health Plan of Washington Cover Levorphanol Tartrate? 5 Plans (2026)