Does Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits cover lidocaine / tetracaine?
Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits
97176-97176LA0340010-0 · ACA · ACA Marketplace
lidocaine / tetracaine
lidocaine / tetracaineunder Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits
Covered — just walk in
Nothing to clear first — take the prescription to an in-network pharmacy.
What you'd pay
This plan doesn't publish a price for this tier. Your pharmacy can quote it before you fill.
- Tier
- Medical service
- Approval first
- Not needed
- Try another first
- No
- Amount limit
- None
Talk to your pharmacist or doctor before acting on anything here. They can see your full history and this page cannot. Never start, stop, or switch a medication based on it. Coverage rules change and plans make exceptions — your pharmacy can check your exact benefit in seconds.As of Sep 14, 2026 · CMS QHP machine-readable. Reference information, not medical advice and not a price.