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Tolvaptan - TolvaptanĀ tablet
Capital District Physicians' Health Plan (CDPHP)
Capital District Physicians' Health Plan (CDPHP) Coverage for Tolvaptan - TolvaptanĀ tablet
All
6
Commercial
2
Health Exchange
2
Managed Medicaid
1
Medicare
1
Commercial
Commercial - HMO
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - PPO
PA Required
No Step Therapy
Quantity Limit
See Details
Health Exchange
Health Exchange - HMO - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
See Details
Health Exchange - HDHP - 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
Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
PA Required
No Step Therapy
Quantity Limit
See Details
Support for Getting Your Patient on Tolvaptan - TolvaptanĀ tablet
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