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Lidoderm - Lidocaine Patch 5% patch
Aetna Health
Aetna Health Coverage for Lidoderm - Lidocaine Patch 5% patch
All
8
Commercial
5
Managed Medicaid
1
Medicare
2
Commercial
Commercial - Other Insurer
PA Required
Step Therapy
Quantity Limit
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Commercial - Employer
No PA
No Step Therapy
No Quantity Limit
See Details
Commercial - HMO
No PA
No Step Therapy
No Quantity Limit
See Details
Commercial - Point of Service
No PA
No Step Therapy
No Quantity Limit
See Details
Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
Quantity Limit
See Details
Medicare
Medicare - Prescription Drug Plan
PA Required
No Step Therapy
Quantity Limit
See Details
Medicare - Medicare Advantage Part D
PA Required
No Step Therapy
Quantity Limit
See Details
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