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PHARMACY COVERAGE GUIDELINES
SECTION:
DRUGSORIGINAL EFFECTIVE DATE:
LAST REVIEW DATE:
LAST CRITERIA REVISION DATE:
ARCHIVE DATE:1/01/16
3/15/18
3/15/18BOSULIF (bosutinib) oral tablet
Coverage for
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How to fill out bosulif - blue cross

How to fill out bosulif - blue cross
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To fill out Bosulif - Blue Cross, follow these steps:
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Obtain the prescription for Bosulif from your doctor.
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Check if Bosulif is covered by your Blue Cross insurance plan.
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Attach any supporting documentation, if necessary, such as the prescription, doctor's notes, or prior authorization forms.
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09
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Have been diagnosed with Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML) - a specific type of blood cancer.
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Are covered by Blue Cross insurance, which includes Bosulif in their list of covered medications.
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It is important to consult with your healthcare provider and check with Blue Cross to determine if Bosulif is the appropriate medication and if you meet the necessary criteria for coverage.
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What is bosulif - blue cross?
Bosulif - blue cross is a prescription medication used to treat certain types of leukemia.
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