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Xolremdi
Blue Care Network (BCN)
Blue Care Network (BCN) Coverage for Xolremdi
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5
Commercial
3
Health Exchange
1
Medicare
1
Commercial
Commercial - HMO
PA Required
No Step Therapy
Quantity Limit
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Commercial - Employer
PA Required
No Step Therapy
Quantity Limit
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Commercial - Other Insurer
PA Required
No Step Therapy
Quantity Limit
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Health Exchange
Health Exchange - HMO - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
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Medicare
Medicare - Medicare Advantage Part D
No PA
No Step Therapy
No Quantity Limit
See Details
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