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Ascomp With Codeine - Butalbital, Aspirin, Caffeine And Codeine Phosphate capsule
Highmark Blue Shield
Highmark Blue Shield Coverage for Ascomp With Codeine - Butalbital, Aspirin, Caffeine And Codeine Phosphate capsule
All
2
Commercial
2
Commercial
Commercial - PPO
PA Required
No Step Therapy
Quantity Limit
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Commercial - HMO
PA Required
No Step Therapy
Quantity Limit
See Details
Support for Getting Your Patient on Ascomp With Codeine - Butalbital, Aspirin, Caffeine And Codeine Phosphate capsule
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