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Pentetate Calcium Trisodium - Pentetate Calcium Trisodium injection, Solution, Concentrate
Blue Cross and Blue Shield of New Mexico (MCO)
Blue Cross and Blue Shield of New Mexico (MCO) Coverage for Pentetate Calcium Trisodium - Pentetate Calcium Trisodium injection, Solution, Concentrate
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5
Commercial
3
Health Exchange
1
Managed Medicaid
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
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Commercial - Employer
No PA
No Step Therapy
No Quantity Limit
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Health Exchange
Health Exchange - HMO - Health Insurance Exchange
No PA
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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