Note Title
Not Available Through Mail Service
Definition
This medication is not available through the mail service pharmacy
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The results below have been sorted using a 2-tier plan. For the most accurate search results, check your plan details and choose another tier plan from the drop-down menu near the search bar.
VAFSEO
THERAPEUTIC CLASS: HEMATOLOGICAL AGENTS - MISC.
Select a strength to see details
150MG TABS
150MG TABS
Not Covered by a 3-Tier Plan
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Note TitleRequires Specialty PharmacyDefinitionThis medication will only be covered through the pharmacy benefit when purchased through a specialty pharmacy that participates in our network. To find a specialty pharmacy, visit Specialty Network Pharmacy Contact Information in the Specialty Pharmacy section.
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Note TitleUnder Review For CoverageDefinitionThis medication isn't currently covered through the pharmacy benefit because it's new to the market and is under review by Blue Cross and Blue Shield of Massachusetts. Your doctor can submit a request on your behalf for a formulary exception while this drug is being reviewed. If approved, it will be covered at the highest tier.
300 MG TABS
300 MG TABS
Not Covered by a 3-Tier Plan
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Note TitleNot Available Through Mail ServiceDefinitionThis medication is not available through the mail service pharmacy
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Note TitleRequires Specialty PharmacyDefinitionThis medication will only be covered through the pharmacy benefit when purchased through a specialty pharmacy that participates in our network. To find a specialty pharmacy, visit Specialty Network Pharmacy Contact Information in the Specialty Pharmacy section.
-
Note TitleUnder Review For CoverageDefinitionThis medication isn't currently covered through the pharmacy benefit because it's new to the market and is under review by Blue Cross and Blue Shield of Massachusetts. Your doctor can submit a request on your behalf for a formulary exception while this drug is being reviewed. If approved, it will be covered at the highest tier.
Prior Authorization Forms
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Important Information
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