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Coverage / Medica / Revlimid / Langerhans Cell Histiocytosis

Revlimid — Medica

Langerhans Cell Histiocytosis

Initial criteria

Patient has multifocal skin disease

Approval duration

3 years

Provenance

View official policy PDF

Plan: Medica
Drug: Revlimid
Indication: Langerhans Cell Histiocytosis
Last seen: 2025-10-06
Hash: 6e454c309bb5…

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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