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Lidocaine And Prilocaine - Lidocaine And Prilocaine cream
Sharp Health Plan
Sharp Health Plan Coverage for Lidocaine And Prilocaine - Lidocaine And Prilocaine cream
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7
Commercial
4
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2
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1
Commercial
Commercial - HMO
No PA
No Step Therapy
Quantity Limit
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Commercial - Point of Service
No PA
No Step Therapy
Quantity Limit
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Commercial - PPO
No PA
No Step Therapy
Quantity Limit
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Commercial - Other Insurer
No PA
No Step Therapy
Quantity Limit
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Health Exchange
Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
Quantity Limit
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Health Exchange - HDHP - Health Insurance Exchange
No PA
No Step Therapy
Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
See Details
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