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Lidocaine 5%- Lidocaine 5% patch
Blue Cross and Blue Shield of New Mexico (MCO)
Blue Cross and Blue Shield of New Mexico (MCO) Coverage for Lidocaine 5%- Lidocaine 5% patch
All
5
Commercial
3
Health Exchange
1
Managed Medicaid
1
Commercial
Commercial - PPO
PA Required
Step Therapy
Quantity Limit
See Details
Commercial - HMO
PA Required
Step Therapy
Quantity Limit
See Details
Commercial - Employer
PA Required
Step Therapy
Quantity Limit
See Details
Health Exchange
Health Exchange - HMO - Health Insurance Exchange
PA Required
Step Therapy
Quantity Limit
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
Quantity Limit
See Details
Support for Getting Your Patient on Lidocaine 5%- Lidocaine 5% patch
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Does Blue Cross and Blue Shield of New Mexico Cover Lidocaine 5%? 5 Plans (2026)