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Adzenys Xr - Odt - Amphetamine tablet, Orally Disintegrating
Blue Shield of California (MCO)
Blue Shield of California (MCO) Coverage for Adzenys Xr - Odt - Amphetamine tablet, Orally Disintegrating
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8
Commercial
3
Health Exchange
3
Medicare
2
Commercial
Commercial - PPO
PA Required
Step Therapy
Quantity Limit
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Commercial - HMO
PA Required
Step Therapy
Quantity Limit
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Commercial - Employer
PA Required
Step Therapy
Quantity Limit
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Health Exchange
Health Exchange - PPO - Health Insurance Exchange
PA Required
Step Therapy
No Quantity Limit
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Health Exchange - HMO - Health Insurance Exchange
PA Required
Step Therapy
No Quantity Limit
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Health Exchange - HDHP - Health Insurance Exchange
PA Required
Step Therapy
No Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
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Medicare - Prescription Drug Plan
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Adzenys Xr - Odt - Amphetamine tablet, Orally Disintegrating
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Screen for drug-drug and drug-condition conflicts.