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Levorphanol Tartrate - Levorphanol Tartrate tablet
Community Health Options (MCO)
Community Health Options (MCO) Coverage for Levorphanol Tartrate - Levorphanol Tartrate tablet
All
4
Commercial
2
Health Exchange
2
Commercial
Commercial - PPO
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - HMO
PA Required
No Step Therapy
Quantity Limit
See Details
Health Exchange
Health Exchange - PPO - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
See Details
Health Exchange - HMO - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
See Details
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Does Maine Community Health Options Cover Levorphanol Tartrate? 4 Plans (2026)