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Ascomp With Codeine - Butalbital, Aspirin, Caffeine And Codeine Phosphate capsule
Highmark Blue Cross Blue Shield
Highmark Blue Cross Blue Shield Coverage for Ascomp With Codeine - Butalbital, Aspirin, Caffeine And Codeine Phosphate capsule
All
7
Commercial
3
Health Exchange
1
Managed Medicaid
1
Medicare
2
Commercial
Commercial - HMO
PA Required
No Step Therapy
Quantity Limit
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Commercial - Employer
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - PPO
PA Required
No Step Therapy
Quantity Limit
See Details
Health Exchange
Health Exchange - PPO - Health Insurance Exchange
PA Required
Step Therapy
Quantity Limit
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Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
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Medicare - Prescription Drug Plan
No PA
No Step Therapy
No Quantity Limit
See Details
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