Arkansas Blue Cross and Blue Shield Coverage for Xeljanz
8 Plans
8 Plans
Medicare - MA-PD
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Medicare - PDP
$$$$$Not covered
Commercial - PPO
$$$$$Preferred
PA requirements
Step therapies
Quantity Limit
Commercial - Employer
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Commercial - HMO
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Commercial - POS
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Health Exchange - PPO-HIX
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Health Exchange - POS-HIX
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Alternative Drug Suggestions