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Xultophy
Kaiser Foundation Health Plan of Georgia
Kaiser Foundation Health Plan of Georgia Coverage for Xultophy
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3
Commercial
2
Health Exchange
1
Commercial
Commercial - HMO
PA Required
Step Therapy
No Quantity Limit
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Commercial - Other Insurer
PA Required
Step Therapy
Quantity Limit
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Health Exchange
Health Exchange - HMO - Health Insurance Exchange
PA Required
Step Therapy
Quantity Limit
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