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PHARMACY COVERAGE GUIDELINES
SECTION:
DRUGSORIGINAL EFFECTIVE DATE:
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ARCHIVE DATE:1/01/16
9/20/18
9/20/18POMALYST (thalidomide) oral capsule
Coverage
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How to fill out pomalyst - blue cross
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To fill out Pomalyst-Blue Cross, follow the steps below:
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Obtain the Pomalyst prescription from your doctor.
03
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It is important to consult with your healthcare provider and insurance provider to determine if you meet the specific requirements for Pomalyst-Blue Cross coverage.
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Pomalyst - Blue Cross is a prescription medication used to treat certain types of cancer.
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