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Pirfenidone - Pirfenidone tablet, Coated
Aetna Health
Aetna Health Coverage for Pirfenidone - Pirfenidone tablet, Coated
All
8
Commercial
5
Managed Medicaid
1
Medicare
2
Commercial
Commercial - Other Insurer
PA Required
No Step Therapy
Quantity Limit
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Commercial - Employer
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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Commercial - HMO
PA Required
No Step Therapy
No Quantity Limit
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Commercial - Point of Service
PA Required
No Step Therapy
No Quantity Limit
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Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
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Medicare
Medicare - Prescription Drug Plan
PA Required
No Step Therapy
Quantity Limit
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Medicare - Medicare Advantage Part D
PA Required
No Step Therapy
Quantity Limit
See Details
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