Levocarnitine Sf

10 Ml — Tablet

Electrolyte/Mineral Replacement

Also known as: Levocarnitine Sf 1 G/10 Ml Oral Solution levOCARNitine SF Oral Solution

Coverage by Insurer

Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Source: CMS QHP JSON  ·  Checked: 20 hours, 51 minutes ago
Plan Tier Prior Auth Step Therapy Quantity Limit Restrictions
AmeriHealth Caritas Next Silver Off-Marketplace High + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Bronze Essential + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Bronze Signature + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Silver Signature + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Bronze Premier + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Gold Signature + No Referrals Tier 2 - Generic None
AmeriHealth Caritas Next Silver Premier + No Referrals Tier 2 - Generic None
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