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Xiidra - Lifitegrast solution/ Drops
Contra Costa Health Plan
Contra Costa Health Plan Coverage for Xiidra - Lifitegrast solution/ Drops
All
4
Commercial
2
Managed Medicaid
1
Medicare
1
Commercial
Commercial - HMO
PA Required
Step Therapy
No Quantity Limit
See Details
Commercial - Employer
PA Required
Step Therapy
No Quantity Limit
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
See Details