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Xelstrym - Dextroamphetamine patch, Extended Release
Kaiser Foundation Health Plan of Hawaii
Kaiser Foundation Health Plan of Hawaii Coverage for Xelstrym - Dextroamphetamine patch, Extended Release
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4
Commercial
2
Health Exchange
1
Managed Medicaid
1
Commercial
Commercial - HMO
PA Required
Step Therapy
No Quantity Limit
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Commercial - Other Insurer
PA Required
Step Therapy
No Quantity Limit
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Health Exchange
Health Exchange - HMO - Health Insurance Exchange
PA Required
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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Support for Getting Your Patient on Xelstrym - Dextroamphetamine patch, Extended Release
Check medication interactions
Screen for drug-drug and drug-condition conflicts.