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Follistim Aq - Follitropin injection, Solution
Express Scripts (ESI)
Express Scripts (ESI) Coverage for Follistim Aq - Follitropin injection, Solution
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3
Commercial
2
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1
Commercial
Commercial - Employer
No PA
Step Therapy
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Commercial - PBM Offering
No PA
No Step Therapy
No Quantity Limit
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Medicare
Medicare - Prescription Drug Plan
No PA
No Step Therapy
No Quantity Limit
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