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Lidocaine - Lidocaine patch
State of California (MCO)
State of California (MCO) Coverage for Lidocaine - Lidocaine patch
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All
4
Commercial
2
State Medicaid
2
Commercial
Commercial - Other Insurer
PA Required
Step Therapy
No Quantity Limit
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Commercial - HMO
No PA
No Step Therapy
No Quantity Limit
See Details
State Medicaid
State Medicaid - State Medicaid
No PA
No Step Therapy
No Quantity Limit
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State Medicaid - AIDS Drug Assistance Program
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Lidocaine - Lidocaine patch
Check medication interactions
Screen for drug-drug and drug-condition conflicts.
Does State of California Cover Lidocaine? 4 Plans (2026)