| Oscar Health - 2018 to Present |
| Xolair (omalizumab) |
| Drugs for the Lungs : Drugs for Asthma/COPD |
- Quantity Limit: limit maximum 1 EA PER 1 day(s)
- Diabetes Type 2: DPP4 + Combo:
Age Requirement: >= 18
Duration: 1 plan year
Documented Diagnosis: Yes
Medical Test Required: Yes
Reauthorization Required: Yes
Duration of Reauthorization: = 1 plan year
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