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Pulmozyme - Dornase Alfa solution
Highmark Blue Cross Blue Shield of Western New York
Highmark Blue Cross Blue Shield of Western New York Coverage for Pulmozyme - Dornase Alfa solution
All
9
Commercial
4
Health Exchange
2
Managed Medicaid
1
Medicare
2
Commercial
Commercial - HMO
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - PPO
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - Point of Service
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - Employer
PA Required
No Step Therapy
Quantity Limit
See Details
Health Exchange
Health Exchange - POS - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
See Details
Health Exchange - HMO - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
No Quantity Limit
See Details
Medicare
Medicare - Prescription Drug Plan
PA Required
No Step Therapy
No Quantity Limit
See Details
Medicare - Medicare Advantage Part D
PA Required
No Step Therapy
No Quantity Limit
See Details