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Coverage / Medica / Leukine (sargramostim) / Acute Myeloid Leukemia

Leukine (sargramostim) — Medica

Acute Myeloid Leukemia

Initial criteria

Medication is prescribed by or in consultation with an oncologist or a hematologist

Approval duration

6 months

Provenance

View official policy PDF

Plan: Medica
Drug: Leukine (sargramostim)
Indication: Acute Myeloid Leukemia
Last seen: 2025-10-06
Hash: d130959bb8b5…

Disclaimer: Educational only. Coverage varies by employer group and formulary. Always verify with the plan.

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Disclaimer: Educational use only. Coverage varies by employer group and formulary. Always verify with the plan.

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