Sign In
Coverage
Check coverage
Home
Ascomp With Codeine - Butalbital, Aspirin, Cafeine, And Codeine Phosphate capsule
Prominence Health Plan
Prominence Health Plan Coverage for Ascomp With Codeine - Butalbital, Aspirin, Cafeine, And Codeine Phosphate capsule
All
4
Commercial
3
Medicare
1
Commercial
Commercial - HMO
No PA
No Step Therapy
Quantity Limit
See Details
Commercial - Point of Service
No PA
No Step Therapy
Quantity Limit
See Details
Commercial - PPO
No PA
No Step Therapy
Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Ascomp With Codeine - Butalbital, Aspirin, Cafeine, And Codeine Phosphate capsule
Check medication interactions