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Filsuvez - Birch Triterpenes gel
Harvard Pilgrim Health Care
Harvard Pilgrim Health Care Coverage for Filsuvez - Birch Triterpenes gel
All
4
Commercial
3
Health Exchange
1
Commercial
Commercial - HMO
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - PPO
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - Point of Service
PA Required
No Step Therapy
Quantity Limit
See Details
Health Exchange
Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
See Details