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Polocaine - Mepivacaine Hydrochloride injection, Solution
AmeriHealth
AmeriHealth Coverage for Polocaine - Mepivacaine Hydrochloride injection, Solution
All
5
Commercial
3
Health Exchange
1
Medicare
1
Commercial
Commercial - Point of Service
No PA
No Step Therapy
No Quantity Limit
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Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
See Details
Commercial - HMO
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
Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
See Details
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Does AmeriHealth Cover Polocaine? 5 Plans (2026)