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Ormalvi - Dichlorphenamide tablet
Blue Cross and Blue Shield of New Mexico (MCO)
Blue Cross and Blue Shield of New Mexico (MCO) Coverage for Ormalvi - Dichlorphenamide tablet
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All
5
Commercial
3
Health Exchange
1
Managed Medicaid
1
Commercial
Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
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Commercial - HMO
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 - HMO - 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
See Details
Support for Getting Your Patient on Ormalvi - Dichlorphenamide tablet
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