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Blt-25 Kit
Upper Peninsula Health Plan (MCO)
Upper Peninsula Health Plan (MCO) Coverage for Blt-25 Kit
All
2
Managed Medicaid
1
Medicare
1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Blt-25 Kit
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Does Upper Peninsula Health Plan Cover Blt-25 Kit? 2 Plans (2026)