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Mirtazapine - Mirtazapine tablet, Orally Disintegrating
Tufts Health Plan
Tufts Health Plan Coverage for Mirtazapine - Mirtazapine tablet, Orally Disintegrating
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5
Commercial
2
Health Exchange
1
Managed Medicaid
1
Medicare
1
Commercial
Commercial - HMO
PA Required
No Step Therapy
No Quantity Limit
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Commercial - PPO
PA Required
No Step Therapy
No Quantity Limit
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Health Exchange
Health Exchange - HMO - Health Insurance Exchange
PA Required
No Step Therapy
No Quantity Limit
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Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
No Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Mirtazapine - Mirtazapine tablet, Orally Disintegrating
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