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Rebif
Blue Care Network (BCN)
Blue Care Network (BCN) Coverage for Rebif
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5
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3
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1
Medicare
1
Commercial
Commercial - HMO
No PA
Step Therapy
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Commercial - Employer
No PA
Step Therapy
Quantity Limit
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Commercial - Other Insurer
No PA
Step Therapy
Quantity Limit
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Health Exchange
Health Exchange - HMO - Health Insurance Exchange
No PA
Step Therapy
Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
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