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Acyclovir - Acyclovir tablet
Blue California Promise Health Plan
Blue California Promise Health Plan Coverage for Acyclovir - Acyclovir tablet
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1
Managed Medicaid
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
Quantity Limit
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Support for Getting Your Patient on Acyclovir - Acyclovir tablet
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Does Blue California Promise Health Plan Cover Acyclovir? 1 Plans (2026)