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Maxitrol - Neomycin Sulfate, Polymyxin B Sulfate And Dexamethasone ointment
Blue Cross and Blue Shield of Vermont
Blue Cross and Blue Shield of Vermont Coverage for Maxitrol - Neomycin Sulfate, Polymyxin B Sulfate And Dexamethasone ointment
All
4
Commercial
3
Health Exchange
1
Commercial
Commercial - HMO
No PA
No Step Therapy
No Quantity Limit
See Details
Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
See Details
Commercial - Point of Service
No PA
No Step Therapy
No Quantity Limit
See Details
Health Exchange
Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
See Details
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