Highmark Blue Cross Blue Shield Coverage for Xeljanz
13 Plans
13 Plans
Commercial - HMO
$$$$$Non-preferred
PA requirements
Step therapies
Quantity Limit
Commercial - Employer
$$$$$Preferred
PA requirements
Step therapies
Quantity Limit
Commercial - PPO
$$$$$Preferred
PA requirements
Step therapies
Quantity Limit
Health Exchange - PPO-HIX
$$$$$Non-preferred
PA requirements
Step therapies
Quantity Limit
Medicare - MA-PD
$$$$$Preferred
PA requirements
Step therapies
Quantity Limit
Medicare - PDP
$$$$$Specialty
PA requirements
Step therapies
Quantity Limit
Managed Medicaid - HMO - Medicaid
$$$$$Preferred
PA requirements
Step therapies
Quantity Limit
Medicare - MA-PD
$$$$$Preferred
PA requirements
Quantity Limit
Medicare - MA-PD
$$$$$Preferred
Quantity Limit
Commercial - HMO
$$$$$Non-preferred
PA requirements
Step therapies
Commercial - Employer
$$$$$Preferred
PA requirements
Step therapies
Commercial - PPO
$$$$$Preferred
PA requirements
Step therapies
Health Exchange - PPO-HIX
$$$$$Non-preferred
PA requirements
Step therapies
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