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Lupron Depot
Triple-S
Triple-S Coverage for Lupron Depot
All
5
Commercial
2
Managed Medicaid
1
Medicare
2
Commercial
Commercial - PPO
PA Required
No Step Therapy
No Quantity Limit
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Commercial - Other Insurer
PA Required
No Step Therapy
No Quantity Limit
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
No Quantity Limit
See Details
Medicare
Medicare - Medicare Advantage Part D
PA Required
No Step Therapy
Quantity Limit
See Details
Medicare - Prescription Drug Plan
PA Required
No Step Therapy
No Quantity Limit
See Details
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