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Medicare Part B Drugs

Part B Drugs that may be subject to Step Therapy:

Condition
Macular Degeneration and Diabetic Retinopathy
Drug Requiring Step Therapy
Aflibercept (Eylea®); Ranibizumab (Lucentis®);
Pegaptanib (Macugen®)
Preferred Trial of
Bevacizumab (Avastin)
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Condition
Joint Pain/Osteoarthritis/Degenerative Joint Disease
Drug Requiring Step Therapy
Hyalgan G-F 20 (Synvisc); Hyalgan; Euflexxa
Preferred Trial of
Corticosteroids