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Imatinib Mesylate - Imatinib Mesylate tablet
Blue Cross and Blue Shield of Alabama
Blue Cross and Blue Shield of Alabama Coverage for Imatinib Mesylate - Imatinib Mesylate tablet
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5
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2
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1
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1
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1
Commercial
Commercial - PPO
PA Required
No Step Therapy
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Commercial - Employer
PA Required
No Step Therapy
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Health Exchange
Health Exchange - PPO - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
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Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
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Medicare
Medicare - Medicare Advantage Part D
PA Required
No Step Therapy
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