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Vitrakvi - Larotrectinib capsule
Arkansas Blue Cross and Blue Shield
Arkansas Blue Cross and Blue Shield Coverage for Vitrakvi - Larotrectinib capsule
All
8
Commercial
4
Health Exchange
2
Medicare
2
Commercial
Commercial - PPO
PA Required
No Step Therapy
Quantity Limit
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Commercial - Employer
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - HMO
PA Required
No Step Therapy
Quantity Limit
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Commercial - Point of Service
PA Required
No Step Therapy
Quantity Limit
See Details
Health Exchange
Health Exchange - PPO - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
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Health Exchange - POS - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
See Details
Medicare
Medicare - Prescription Drug Plan
PA Required
No Step Therapy
Quantity Limit
See Details
Medicare - Medicare Advantage Part D
PA Required
No Step Therapy
Quantity Limit
See Details
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