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Fentanyl System - Fentanyl patch
The Health Plan (of the Upper Ohio Valley)
The Health Plan (of the Upper Ohio Valley) Coverage for Fentanyl System - Fentanyl patch
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5
Commercial
3
Managed Medicaid
1
Medicare
1
Commercial
Commercial - HMO
No PA
Step Therapy
Quantity Limit
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Commercial - PPO
No PA
Step Therapy
Quantity Limit
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Commercial - Point of Service
No PA
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 Fentanyl System - Fentanyl patch
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Screen for drug-drug and drug-condition conflicts.