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Ativan - Lorazepam tablet
Blue Cross and Blue Shield of North Carolina
Blue Cross and Blue Shield of North Carolina Coverage for Ativan - Lorazepam tablet
All
8
Commercial
2
Health Exchange
3
Managed Medicaid
1
Medicare
2
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 - POS - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
See Details
Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
See Details
Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
No Quantity Limit
See Details
Medicare
Medicare - Prescription Drug Plan
PA Required
Step Therapy
Quantity Limit
See Details
Medicare - Medicare Advantage Part D
PA Required
Step Therapy
Quantity Limit
See Details
Support for Getting Your Patient on Ativan - Lorazepam tablet
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