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Rebif
Sanford Health Plan (MCO)
Sanford Health Plan (MCO) Coverage for Rebif
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5
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2
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2
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1
Commercial
Commercial - HMO
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - Employer
PA Required
No Step Therapy
Quantity Limit
See Details
Health Exchange
Health Exchange - HMO - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
See Details
Health Exchange - PPO - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
PA Required
Step Therapy
Quantity Limit
See Details
Support for Getting Your Patient on Rebif
Check medication interactions
Screen for drug-drug and drug-condition conflicts.
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Download payer-specific forms and appeal templates.