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Ascomp With Codeine - Butalbital, Aspirin, Cafeine, And Codeine Phosphate capsule
Contra Costa Health Plan
Contra Costa Health Plan Coverage for Ascomp With Codeine - Butalbital, Aspirin, Cafeine, And Codeine Phosphate capsule
All
4
Commercial
2
Managed Medicaid
1
Medicare
1
Commercial
Commercial - HMO
PA Required
No Step Therapy
No Quantity Limit
See Details
Commercial - Employer
PA Required
No Step Therapy
No Quantity Limit
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
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 Ascomp With Codeine - Butalbital, Aspirin, Cafeine, And Codeine Phosphate capsule
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