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Omeprazole, Sodium Bicarbonate - Omeprazole, Sodium Bicarbonate capsule
Community Health Options (MCO)
Community Health Options (MCO) Coverage for Omeprazole, Sodium Bicarbonate - Omeprazole, Sodium Bicarbonate capsule
All
4
Commercial
2
Health Exchange
2
Commercial
Commercial - PPO
PA Required
No Step Therapy
Quantity Limit
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Commercial - HMO
PA Required
No Step Therapy
Quantity Limit
See Details
Health Exchange
Health Exchange - PPO - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
See Details
Health Exchange - HMO - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
See Details
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