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Tolvaptan
Avera Health Plans
Avera Health Plans Coverage for Tolvaptan
All
5
Commercial
2
Health Exchange
3
Commercial
Commercial - HMO
PA Required
No Step Therapy
Quantity Limit
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Commercial - PPO
PA Required
No Step Therapy
Quantity Limit
See Details
Health Exchange
Health Exchange - PPO - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
See Details
Health Exchange - HMO - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
See Details
Health Exchange - HDHP - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
See Details
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