No SMN's Physick just completely drops off after 50. SMN starts getting casting gear (see: Tomestone gear is now separated into casting and healing), and Physick only scales on MND stat. The MND stat is removed from lv 50 onwards for casters, and thus physick goes from:
Lv 1 to 20: useful
Lv 20 to 45: mildly useful (Healers get an upgraded healing spell so Physick is no longer as comparable but their base stats and Maim and Mend II are still there)
Lv 45 to 49: not really useful but still usable in a pinch (MND Stats will start to vary significantly here if you are using artifact gear)
Lv 50 onwards: completely useless (healers gain bigger scaling on MND, casters lose MND stat from gear, reducing its potency to be even lower than previous levels since it can only rely on base MND from levels).



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