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Ascomp With Codeine - Butalbital, Aspirin, Caffeine And Codeine Phosphate capsule
Blue Cross Blue Shield of Wyoming
Blue Cross Blue Shield of Wyoming Coverage for Ascomp With Codeine - Butalbital, Aspirin, Caffeine And Codeine Phosphate capsule
All
3
Commercial
2
Health Exchange
1
Commercial
Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
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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
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