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Dasatinib - Dasatinib tablet, Film Coated
Presbyterian Health Plan
Presbyterian Health Plan Coverage for Dasatinib - Dasatinib tablet, Film Coated
All
7
Commercial
4
Health Exchange
1
Managed Medicaid
1
Medicare
1
Commercial
Commercial - PPO
PA Required
No Step Therapy
Quantity Limit
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Commercial - HMO
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - Employer
PA Required
No Step Therapy
Quantity Limit
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Commercial - Other Insurer
PA Required
No Step Therapy
Quantity Limit
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Health Exchange
Health Exchange - HMO - 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
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Medicare
Medicare - Medicare Advantage Part D
PA Required
No Step Therapy
Quantity Limit
See Details
Support for Getting Your Patient on Dasatinib - Dasatinib tablet, Film Coated
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