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(formerly) (omega3acid ethyl esters) PRIOR AUTHORIZATION FORM Coverage Criteria: Covered as monotherapy for the treatment of hypertriglyceridemia in adults who meet the following criteria: Consistently
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formerly omega-3-acid ethyl esters is a type of omega-3 fatty acid supplement.
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Formerly omega-3-acid ethyl esters are used as dietary supplements to support heart health and reduce inflammation.
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