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Lidocaine - Lidocaine Hydrochloride And Epinephrine Bitartrate injection, Solution
AmeriHealth Caritas New Hampshire
AmeriHealth Caritas New Hampshire Coverage for Lidocaine - Lidocaine Hydrochloride And Epinephrine Bitartrate injection, Solution
All
1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
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Support for Getting Your Patient on Lidocaine - Lidocaine Hydrochloride And Epinephrine Bitartrate injection, Solution
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