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Polocaine - Mepivacaine Hydrochloride injection, Solution
Cigna Healthcare
Cigna Healthcare Coverage for Polocaine - Mepivacaine Hydrochloride injection, Solution
All
6
Commercial
4
Health Exchange
2
Commercial
Commercial - Employer
No PA
No Step Therapy
No Quantity Limit
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Commercial - HMO
No PA
No Step Therapy
No Quantity Limit
See Details
Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
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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
Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
See Details
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