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Pirfenidone - Pirfenidone tablet, Film Coated
Alameda Alliance (MCO)
Alameda Alliance (MCO) Coverage for Pirfenidone - Pirfenidone tablet, Film Coated
All
4
Commercial
2
Managed Medicaid
1
Medicare
1
Commercial
Commercial - HMO
PA Required
No Step Therapy
No Quantity Limit
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Commercial - Employer
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 - Medicare Advantage Part D
PA Required
No Step Therapy
No Quantity Limit
See Details
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