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Lidoderm - Lidocaine Patch 5% patch
Maryland Physicians Care (MPC) (MCO)
Maryland Physicians Care (MPC) (MCO) Coverage for Lidoderm - Lidocaine Patch 5% patch
All
1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
Quantity Limit
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