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Fingolimod - Fingolimod capsule
South Country Health Alliance
South Country Health Alliance Coverage for Fingolimod - Fingolimod capsule
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2
Managed Medicaid
1
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1
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
PA Required
Step Therapy
Quantity Limit
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