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Khapzory - Levoleucovorin injection, Powder, Lyophilized, For Solution
Blue Cross Blue Shield of Michigan (MCO)
Blue Cross Blue Shield of Michigan (MCO) Coverage for Khapzory - Levoleucovorin injection, Powder, Lyophilized, For Solution
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6
Commercial
2
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1
Managed Medicaid
1
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2
Commercial
Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
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Commercial - Employer
No PA
No Step Therapy
No Quantity Limit
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Health Exchange
Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
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Medicare - Prescription Drug Plan
No PA
No Step Therapy
No Quantity Limit
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Support for Getting Your Patient on Khapzory - Levoleucovorin injection, Powder, Lyophilized, For Solution
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