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Acyclovir - Acyclovir cream
UPMC Health Plan
UPMC Health Plan Coverage for Acyclovir - Acyclovir cream
All
9
Commercial
4
Health Exchange
2
Managed Medicaid
1
Medicare
2
Commercial
Commercial - HMO
No PA
No Step Therapy
No Quantity Limit
See Details
Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
See Details
Commercial - Other Insurer
PA Required
No Step Therapy
No Quantity Limit
See Details
Commercial - Employer
PA Required
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
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
See Details
Medicare - Prescription Drug Plan
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Acyclovir - Acyclovir cream
Check medication interactions
Does UPMC Health Plan Cover Acyclovir? 9 Plans (2026)