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Pilocarpine Hydrochloride - Pilocarpine Hydrochloride tablet, Film Coated
Providence Health Plan
Providence Health Plan Coverage for Pilocarpine Hydrochloride - Pilocarpine Hydrochloride tablet, Film Coated
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6
Commercial
3
Health Exchange
1
Managed Medicaid
1
Medicare
1
Commercial
Commercial - HMO
No PA
No Step Therapy
No Quantity Limit
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Commercial - Employer
No PA
No Step Therapy
No Quantity Limit
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Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
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Health Exchange
Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
No Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Pilocarpine Hydrochloride - Pilocarpine Hydrochloride tablet, Film Coated
Check medication interactions
Screen for drug-drug and drug-condition conflicts.
Does Providence Health Plan Cover Pilocarpine Hydrochloride? 6 Plans (2026)