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Avmed Health Plan
Avmed Health Plan Coverage for Xultophy
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3
Commercial
2
Health Exchange
1
Commercial
Commercial - HMO
No PA
Step Therapy
Quantity Limit
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Commercial - Point of Service
No PA
Step Therapy
Quantity Limit
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Health Exchange
Health Exchange - HMO - Health Insurance Exchange
No PA
Step Therapy
Quantity Limit
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