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Metyrosine - Metyrosine capsule
Aspirus Health Plan
Aspirus Health Plan Coverage for Metyrosine - Metyrosine capsule
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6
Commercial
2
Health Exchange
3
Medicare
1
Commercial
Commercial - HMO
PA Required
No Step Therapy
Quantity Limit
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Commercial - Point of Service
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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Health Exchange - POS - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
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Health Exchange - HDHP - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
PA Required
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Metyrosine - Metyrosine capsule
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