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Methoxsalen - Methoxsalen capsule, Liquid Filled
Health Alliance Plan (HAP)
Health Alliance Plan (HAP) Coverage for Methoxsalen - Methoxsalen capsule, Liquid Filled
All
5
Commercial
4
Medicare
1
Commercial
Commercial - Other Insurer
PA Required
No Step Therapy
Quantity Limit
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Commercial - HMO
PA Required
No Step Therapy
Quantity Limit
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Commercial - PPO
PA Required
No Step Therapy
Quantity Limit
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Commercial - Employer
PA Required
No Step Therapy
Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Methoxsalen - Methoxsalen capsule, Liquid Filled
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