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Dalfampridine - Dalfampridine tablet, Extended Release
Highmark Blue Shield of Northeastern New York
Highmark Blue Shield of Northeastern New York Coverage for Dalfampridine - Dalfampridine tablet, Extended Release
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6
Commercial
4
Health Exchange
1
Medicare
1
Commercial
Commercial - HMO
PA Required
Step Therapy
Quantity Limit
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Commercial - PPO
PA Required
Step Therapy
Quantity Limit
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Commercial - Point of Service
PA Required
Step Therapy
Quantity Limit
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Commercial - Employer
PA Required
No Step Therapy
Quantity Limit
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Health Exchange
Health Exchange - POS - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
PA Required
No Step Therapy
Quantity Limit
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Does Highmark Blue Shield of Northeastern New York Cover Dalfampridine? 6 Plans (2026)