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Selzentry - Maraviroc tablet, Film Coated
Horizon Blue Cross and Blue Shield of New Jersey
Horizon Blue Cross and Blue Shield of New Jersey Coverage for Selzentry - Maraviroc tablet, Film Coated
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7
Commercial
4
Health Exchange
1
Medicare
2
Commercial
Commercial - HMO
No PA
No Step Therapy
Quantity Limit
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Commercial - PPO
No PA
No Step Therapy
Quantity Limit
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Commercial - Point of Service
No PA
No Step Therapy
Quantity Limit
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Commercial - Employer
No PA
No Step Therapy
Quantity Limit
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Health Exchange
Health Exchange - PPO - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
Quantity Limit
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Medicare - Prescription Drug Plan
No PA
No Step Therapy
Quantity Limit
See Details
Support for Getting Your Patient on Selzentry - Maraviroc tablet, Film Coated
Check medication interactions
Screen for drug-drug and drug-condition conflicts.