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Synagis
OptumRx (MCO)
OptumRx (MCO) Coverage for Synagis
All
3
Commercial
2
Medicare
1
Commercial
Commercial - Employer
PA Required
No Step Therapy
No Quantity Limit
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Commercial - PBM Offering
PA Required
No Step Therapy
No Quantity Limit
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Medicare
Medicare - Prescription Drug Plan
No PA
No Step Therapy
No Quantity Limit
See Details
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