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Spritam - Levetiracetam tablet, For Suspension
Blue Cross and Blue Shield of Texas
Blue Cross and Blue Shield of Texas Coverage for Spritam - Levetiracetam tablet, For Suspension
All
6
Commercial
3
Health Exchange
2
Managed Medicaid
1
Commercial
Commercial - HMO
No PA
No Step Therapy
No Quantity Limit
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Commercial - PPO
No PA
No Step Therapy
No Quantity Limit
See Details
Commercial - Employer
PA Required
No Step Therapy
Quantity Limit
See Details
Health Exchange
Health Exchange - HMO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
See Details
Health Exchange - POS - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
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Managed Medicaid
Managed Medicaid - HMO - Medicaid
No PA
No Step Therapy
No Quantity Limit
See Details
Support for Getting Your Patient on Spritam - Levetiracetam tablet, For Suspension
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