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Xifaxan
Regence BlueShield of Idaho
Regence BlueShield of Idaho Coverage for Xifaxan
All
4
Commercial
2
Health Exchange
2
Commercial
Commercial - PPO
PA Required
Step Therapy
Quantity Limit
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Commercial - Employer
PA Required
Step Therapy
Quantity Limit
See Details
Health Exchange
Health Exchange - POS - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
See Details
Health Exchange - PPO - Health Insurance Exchange
No PA
No Step Therapy
No Quantity Limit
See Details
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