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Acyclovir - Acyclovir injection, Solution
BlueCross BlueShield of Tennessee
BlueCross BlueShield of Tennessee Coverage for Acyclovir - Acyclovir injection, Solution
All
5
Commercial
2
Health Exchange
1
Managed Medicaid
1
Medicare
1
Commercial
Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
See Details
Commercial - Employer
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
Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
No Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
PA Required
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Acyclovir - Acyclovir injection, Solution
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Does BlueCross BlueShield of Tennessee Cover Acyclovir? 5 Plans (2026)