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Sx Pre - Op Prep Pouch - Mupirocin Ointment
HealthPartners
HealthPartners Coverage for Sx Pre - Op Prep Pouch - Mupirocin Ointment
All
8
Commercial
4
Health Exchange
1
Managed Medicaid
1
Medicare
2
Commercial
Commercial - HMO
No PA
No Step Therapy
Quantity Limit
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Commercial - PPO
No PA
No Step Therapy
Quantity Limit
See Details
Commercial - Employer
No PA
No Step Therapy
Quantity Limit
See Details
Commercial - Other Insurer
No PA
No Step Therapy
Quantity Limit
See Details
Health Exchange
Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
Quantity Limit
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
See Details
Medicare
Medicare - Prescription Drug Plan
No PA
No Step Therapy
Quantity Limit
See Details
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
Quantity Limit
See Details
Support for Getting Your Patient on Sx Pre - Op Prep Pouch - Mupirocin Ointment
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