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Dalfampridine - Dalfampridine tablet, Extended Release
PacificSource Health Plans
PacificSource Health Plans Coverage for Dalfampridine - Dalfampridine tablet, Extended Release
All
6
Commercial
3
Health Exchange
2
Medicare
1
Commercial
Commercial - PPO
No PA
No Step Therapy
Quantity Limit
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Commercial - HMO
No PA
No Step Therapy
Quantity Limit
See Details
Commercial - Employer
No PA
No Step Therapy
Quantity Limit
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Health Exchange
Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
Quantity Limit
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Health Exchange - POS - Health Insurance Exchange
No PA
No Step Therapy
Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
PA Required
No Step Therapy
Quantity Limit
See Details
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Does PacificSource Health Plans Cover Dalfampridine? 6 Plans (2026)