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Lumryz - Sodium Oxybate for Suspension, Extended Release
Capital BlueCross
Capital BlueCross Coverage for Lumryz - Sodium Oxybate for Suspension, Extended Release
All
6
Commercial
3
Health Exchange
2
Medicare
1
Commercial
Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
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Commercial - HMO
No PA
No Step Therapy
No Quantity Limit
See Details
Commercial - Employer
PA Required
Step Therapy
Quantity Limit
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Health Exchange
Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
See Details
Health Exchange - HDHP - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
PA Required
Step Therapy
Quantity Limit
See Details
Support for Getting Your Patient on Lumryz - Sodium Oxybate for Suspension, Extended Release
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