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Polymyxin B Sulfate And Trimethoprim - Polymyxin B Sulfate And Trimethoprim Sulfate solution/ Drops
Health Plan of San Mateo
Health Plan of San Mateo Coverage for Polymyxin B Sulfate And Trimethoprim - Polymyxin B Sulfate And Trimethoprim Sulfate solution/ Drops
All
2
Managed Medicaid
1
Medicare
1
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 Polymyxin B Sulfate And Trimethoprim - Polymyxin B Sulfate And Trimethoprim Sulfate solution/ Drops
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Does Health Plan of San Mateo Cover Polymyxin B Sulfate And Trimethoprim? 2 Plans (2026)