Specialty Tier Drug List Specialty Drugs - Kaiser … MARQIBO MATULANE MEKINIST MELPHALAN HCL...
Transcript of Specialty Tier Drug List Specialty Drugs - Kaiser … MARQIBO MATULANE MEKINIST MELPHALAN HCL...
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All drug product strengths, formulations, and package sizes &/or types of a formulary drug may not be included on the formulary,
check with your Kaiser Permanente pharmacist for clarification, if needed.
Kaiser Permanente Colorado Commercial Specialty Tier Drug List 1 Revised: January 17, 2017
Kaiser Permanente Colorado Commercial Specialty Tier Drug List Bold = Formulary & Italics = Non-Formulary
The Specialty Tier drug list is subject to change at any time.
ABACAVIR SULFATE-LAMIVUDINE
ABACAVIR SULFATE-LAMIVUDINE-ZIDOVUDINE
ABELCET
ABILIFY MAINTENA
ACITRETIN
ACTEMRA
ACTHREL
ACTIMMUNE
ADAGEN
ADCETRIS
ADCIRCA
ADEFOVIR DIPIVOXIL
ADEMPAS
ADVATE
ADYNOVATE
AFINITOR DISPERZ
AFSTYLA
AKYNZEO
ALDURAZYME
ALECENSA
ALFERON N
ALIMTA
ALOPRIM
ALOXI
ALPHANATE
ALPHANINE SD
ALPROLIX
AMBISOME
AMMONUL
AMPHADASE
AMPHOTERICIN
AMPYRA
AMYTAL SODIUM
AMYVID
ANASCORP
ANCOBON
ANTIVENIN LATRODECTUS MACTANS
ANTIVENIN MICRURUS FULVIUS
APOKYN
APTIVUS
AQUASOL
ARALAST
ARANESP
ARCALYST
ARISTADA
ARIXTRA
ATOVAQUONE
ATRIPLA
ATRYN
AUBAGIO
AVONEX PEN
AVYCAZ
B-12 COMPLIANCE KIT
BAL IN OIL
BARACLUDE
BEBULIN
BELEODAQ
BENDEKA
BENEFIX
BENLYSTA
BERINERT
BETASERON
BETHKIS NEB
BIVIGAM
BLINCYTO
BOSULIF
BRAVELLE
BRIVIACT
BUNAVAIL
BUPHENYL POW
CABOMETYX
CALCIUM DISODIUM VERSENATE
CAMPATH
CANCIDAS
CAPASTAT SULFATE
CAPRELSA
CARIMUNE NF
CAYSTON
CEPROTIN
CERDELGA
CERETEC
CEREZYME
CETROTIDE
CHIRHOSTIM
CHOLBAM
CHORIONIC GONADOTROPIN
CIDOFOVIR
CIMZIA
CINQAIR
CINRYZE
CLIN SINGLE USE
COAGADEX
COMETRIQ
COMPLERA
Specialty Drugs R
Kaiser Permanente utilizes a list of medications that are considered to be specialty drugs. Specialty drugs include self-administered injectables, medications that are typically high cost or medications that require special dispensing and/or monitoring. Some prescription drug plans have a different cost share for specialty drugs. The details of your prescription drug plan can be found in your Evidence of Coverage or Certificate of Insurance.
Kaiser Permanente utilizes drug formularies. A drug formulary includes the list of prescription drugs that are preferred and have been approved for our Members. Coverage under your prescription drug plan is determined by the drug formulary; however, many drug plans have specific exclusions, copays or coinsurances that are not reflected in the drug formularies. The drug formularies can be found at kp.org.
Specialty Tier Drug List
http://www.kp.org/
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Kaiser Permanente Colorado Commercial Specialty Tier Drug List
All drug product strengths, formulations, and package sizes &/or types of a formulary drug may not be included on the formulary, check with your Kaiser
Permanente pharmacist for clarification, if needed.
Kaiser Permanente Colorado Commercial Specialty Tier Drug List 2 Revised: January 17, 2017
COPAXONE
CORIFACT
COSENTYX PEN
COSMEGEN
COTELLIC
CRESEMBA
CROFAB
CUBICIN
CUPRIMINE
CYANOKIT
CYRAMZA
CYSTADANE
CYTOVENE
D.H.E.45
DACOGEN
DAKLINZA
DALVANCE
DATSCAN
DEPEN TITRATABS
DESCOVY
DESFERAL MESYLATE
DEXAMETHASONE SOD PHOSPHATE/PF
DIFICID
DIGIFAB
DIPENTUM
DOCEFREZ
DOCETAXEL
DORIBAX
DYSPORT
EDURANT
EGRIFTA
ELAPRASE
ELELYSO
ELIGARD
ELITEK
ELOCTATE
EMCYT
EMPLICITI
ENBREL
ENTOCORT EC CPEP
ENTYVIO
EPCLUSA
EPINEPHRINE
EPOGEN
EPOPROSTENOL SODIUM
EPZICOM
ERAXIS
ERIVEDGE
ESBRIET
ESOMEPRAZOLE SODIUM
ETHACRYNATE SODIUM
ETHYOL
EVOMELA
EVOTAZ
EVZIO
EXJADE
EXONDYS
EXTAVIA
FABRAZYME
FARYDAK
FASLODEX
FEIBA
FELBATOL
FERRIPROX
FIRAZYR
FIRMAGON
FLEBOGAMMA
FLOLAN
FLUCYTOSINE
FOLLISTIM AQ
FOLOTYN
FONDAPARINUX SODIUM
FORTEO
FRAGMIN
FUZEON
FYCOMPA
GAMASTAN S-D
GAMMAGARD
GAMMAKED
GAMMAPLEX
GAMUNEX-C
GANCICLOVIR SODIUM
GANIRELIX
GATTEX
GAZYVA
GEMZAR
GENOTROPIN
GENVOYA
GILENYA
GILOTRIF
GLASSIA
GLATOPA
GLEEVEC
GLUMETZA
GONAL-F RFF
GONAL-F RFF REDI-JECT
GRANISETRON
GRANIX
H.P. ACTHAR
HARVONI
HEMABATE
HEMOFIL M
HEPAGAM B
HEPSERA
HERCEPTIN
HETLIOZ
HEXALEN
HIZENTRA
HUMATE-P
HUMATROPE
HUMATROPEN
HUMIRA PEDIATRIC CROHN'S
HUMIRA PEN CROHN-UC-HS STARTER
HUMIRA PSKT
HYCAMTIN
HYDROXYPROGESTERONE
HYDROXYPROGESTERONE CAPROATE
HYLENEX
HYPERHEP
HYPERHEP B
HYPERRAB
HYPERRAB S-D
HYQVIA HY
HYQVIA IG
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Kaiser Permanente Colorado Commercial Specialty Tier Drug List
All drug product strengths, formulations, and package sizes &/or types of a formulary drug may not be included on the formulary, check with your Kaiser
Permanente pharmacist for clarification, if needed.
Kaiser Permanente Colorado Commercial Specialty Tier Drug List 3 Revised: January 17, 2017
IBRANCE
ICLUSIG
IDELVION
ILARIS
IMATINIB MESYLATE
IMBRUVICA
IMITREX
IMPAVIDO
INCIVEK
INCRELEX
INDIUM IN-111 OXYQUINOLINE
INLYTA
INTELENCE
INTRON A
INVANZ
INVEGA SUSTENNA
INVEGA TRINZA
INVIRASE
IPRIVASK
IRESSA
ISENTRESS CHW
ISTODAX
IXEMPRA
IXINITY
JADENU
JAKAFI
JEVTANA
JUXTAPID
KADCYLA
KALBITOR
KALETRA
KALYDECO GRAN PACK
KANUMA
KCENTRA
KENGREAL
KEPIVANCE
KEVEYIS
KEYTRUDA
KINERET
KITABIS PAK NEB
KOATE-DVI
KORLYM
KOVALTRY
KRYSTEXXA
KUVAN
KYNAMRO
KYPROLIS
LATUDA
LEMTRADA
LENVIMA
LETAIRIS
LEUKINE
LEXIVA
LINEZOLID
LINEZOLID-0.9% NACL
LONSURF
LUMIZYME
LUPRON DEPOT
LUPRON DEPOT-PED
LYNPARZA
LYSODREN
MAKENA
MARQIBO
MATULANE
MEKINIST
MELPHALAN HCL
MENOMUNE-A-C-Y-W-135
MENOPUR
MEPRON
METASTRON
MIACALCIN
MIRCERA
MIXED VESPID VENOM PROTEIN
MONOCLATE-P
MONONINE
MOZOBIL
MYALEPT FNL
MYCAMINE
MYCOBUTIN
NABI-HB
NATPARA
NATRECOR
NEULASTA
NEUPOGEN
NEXAVAR
NINLARO
NIPENT
NORDITROPIN FLEXPRO
NORTHERA
NORVIR SOL
NOVOEIGHT
NOVOSEVEN RT
NOXAFIL
NPLATE
NUCALA
NULOJIX
NUPLAZID
NUTROPIN AQ
NUTROPIN AQ NUSPIN
NUWIQ
OBIZUR
OCALIVA
OCTAGAM
OCTREOSCAN
ODEFSEY
ODOMZO
OFEV
OFIRMEV
OLYSIO
ONCASPAR
OPDIVO
OPSUMIT
ORBACTIV
ORENCIA
ORENITRAM
ORFADIN
ORKAMBI
OTEZLA
OTREXUP
OVIDREL
PANHEMATIN
PANRETIN
PEGASYS PROCLICK
PEGINTRON REDIPEN
PHOTOFRIN
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Kaiser Permanente Colorado Commercial Specialty Tier Drug List
All drug product strengths, formulations, and package sizes &/or types of a formulary drug may not be included on the formulary, check with your Kaiser
Permanente pharmacist for clarification, if needed.
Kaiser Permanente Colorado Commercial Specialty Tier Drug List 4 Revised: January 17, 2017
PLEGRIDY
PLEGRIDY PEN
POMALYST
PRALUENT
PREZCOBIX
PREZISTA
PRIVIGEN
PRO-C-DURE
PROCRIT
PROCYSBI
PROFILNINE
PROLEUKIN
PROLIA
PROMACTA
PROSTASCINT
PROVAYBLUE
PROVENGE
PULMOZYME
PURIXAN
RAPAMUNE
RASUVO
RAVICTI
RAYALDEE
RAYOS
REBIF REBIDOSE
RECOMBINATE
REGRANEX
RELISTOR
REMICADE
REMODULIN
REPATHA PUSHTRONEX
REPATHA SURECLICK
REPATHA SYRINGE
RETAVASE
REVATIO
REVLIMID
REXULTI
REYATAZ
RIFADIN
RIFAMPIN
RILUTEK
RISPERDAL CONSTA
RITUXAN
RIXUBIS
RUBRACA
RUCONEST
RYANODEX
RYNODERM
SABRIL
SAIZEN
SAMSCA
SANDOSTATIN LAR
SANDOSTATIN LAR DEPOT
SAXENDA
SCULPTRA
SELZENTRY
SENSIPAR
SEROSTIM
SIGNIFOR
SIGNIFOR LAR
SIMPONI ARIA
SIMULECT
SIRTURO
SIVEXTRO
SODIUM EDECRIN
SOMATULINE DEPOT
SOMAVERT
SORIATANE
SOVALDI
SPRITAM
SPRYCEL
STELARA
STIVARGA
STRENSIQ
STRIBILD
SUMAVEL DOSEPRO
SUTENT
SYLATRON
SYLVANT
SYMLINPEN
SYNAGIS
SYNERCID
SYNRIBO
SYPRINE
TACLONEX
TAFINLAR
TAGRISSO
TALTZ AUTOINJECTOR
TALTZ SYRINGE
TARCEVA
TARGRETIN
TASIGNA
TAXOTERE
TECENTRIQ
TECFIDERA
TECFIDERA STARTER PACK
TECHNIVIE
TEFLARO
TEMODAR
TEMOZOLOMIDE
TENIPOSIDE
TETRACAINE
THALOMID
THIOTEPA
THROMBATE
THYROGEN 1.1
TIVICAY
TNKASE
TOBI NEB
TOBI PODHALER
TOBRAMYCIN NEBU
TORISEL
TRACLEER
TREANDA
TRELSTAR
TRETINOIN
TRETTEN
TRISENOX
TRIUMEQ
TRIZIVIR
TRUVADA
TYGACIL
TYKERB
TYSABRI
TYZEKA
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Kaiser Permanente Colorado Commercial Specialty Tier Drug List
All drug product strengths, formulations, and package sizes &/or types of a formulary drug may not be included on the formulary, check with your Kaiser
Permanente pharmacist for clarification, if needed.
Kaiser Permanente Colorado Commercial Specialty Tier Drug List 5 Revised: January 17, 2017
UCERIS
ULTRAVATE
UNITUXIN
UPTRAVI
VALCHLOR
VALCYTE
VALGANCICLOVIR
VANCOCIN
VANCOMYCIN
VAPRISOL-5% DEXTROSE
VARIZIG
VECAMYL
VELCADE
VELETRI
VEMLIDY
VENCLEXTA
VENCLEXTA STARTING PACK
VENTAVIS AMPUL-NEB
VFEND
VIBATIV
VIBERZI
VICTOZA
VICTRELIS
VIEKIRA PAK
VIEKIRA XR
VIMIZIM
VIMOVO
VIRACEPT POW
VIREAD POW
VISTOGARD
VISUDYNE
VITAMIN K1
VITEKTA
VITRASE
VIVITROL
VIZAMYL
VONVENDI
VORAXAZE
VOTRIENT
VPRIV
VRAYLAR CPPK
WASP VENOM PROTEIN
WILATE
XALKORI
XELJANZ
XENAZINE
XEOMIN
XGEVA
XIFAXAN
XOFIGO
XOLAIR
XTANDI
XURIDEN
XYNTHA SOLOFUSE
XYREM
YERVOY
YONDELIS
ZALTRAP
ZARXIO
ZAVESCA
ZELBORAF
ZEMAIRA
ZEMBRACE SYMTOUCH
ZEPATIER
ZERBAXA
ZEVALIN
ZINBRYTA
ZOFRAN
ZOLADEX
ZOLINZA
ZOMACTON
ZORBTIVE
ZORTRESS
ZUBSOLV
ZYDELIG
ZYFLO
ZYKADIA
ZYPREXA RELPREVV
ZYTIGA
ZYVOX
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(Amharic): Kaiser Permanente
(Arabic): .
Kaiser Permanente
.
(Armenian): : Kaiser Permanente- , , , , ` :
as Wuu (Bassa): m n kp m k gbo-kpa-kpa dy n mn nn ii-w m pidyi. ju k m dyi dyi-di- e a ni c- m t z j dy n, m ju a ni kun kp j dyi dyiin Kaiser Permanente m n, m dyi b ju m k nyu w j k ni, nii, a na wa ta ni m ni gb b, k n mu ny-wuun-za-ny gbo wn.
(Bengali):
Kaiser Permanente-
,
California . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-800-464-4000
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Virginia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-800-777-7902
Washington . . . . . . . . . . . . . . . . . . . . . . . . 1-800-813-2000
TTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 711
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60436922 National 2016
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(Chinese): Kaiser Permanente
Chuuk (Chukese): Mei wor omw pwuung omw kopwe angei aninis non foosun fonuomw (Chuukese), ese kamo. Ika mei wor omw kapas eis usun omw apilikeison me/ika policy fan nemenien Kaiser Permanente, are ika ei esinesin a erenuk pwe kopwe fori pwan ekoch fofor, ka tongeni omw kopwe kori ewe nampa mei kawor faniten omw state ika fonu (asan) iwe eman chon chiakku epwe anisuk non kapasen fonuomw.
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(Gujarati): . Kaiser Permanente , , .
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lelo Hawaii (Hawaiian): He pono a ua loaa no kekahi kkua me ku lelo in makemake a he manuahi no hoi. In he mau nnau ku e pili ana i ku palapala noi inikua ola kino a i ole i kkua ma ka polokalamu kkua ola kino Kaiser Permanente, a i ole in ke hai nei paha kia leka nei ioe e hana koke aku i kia ma mua o kekahi l i waiho ia, e kelepona aku i ka helu i loaa ma kia leka nei no ku mokuina a i ole panaina no ka walaau ana me kekahi kanaka unuhi lelo.
(Hindi): Kaiser Permanente
Hmoob (Hmong): Koj muaj cai kom tau txais kev pab uas hais koj hom lus yam tsis tau them nqi. Yog koj muaj lus nug txog koj daim ntawv thov los yog cov kev pab them nyiaj tim Kaiser Permanente, los yog tias daim ntawv no yog ib tsab ntawv ceebtoom uas yuav kom koj ua ib yam dabtsi raws li hnub tau teev tseg, hu rau tus nab npawb xovtooj uas tau muab rau koj lub xeev lossis cheeb tsam kom tau tham nrog tus kws txhais lus.
Igbo (Igbo): nwere ikike nweta enyemaka nass g na akwgh gw bla. br na nwere ajj gbasara akwkw anamachihe g ma b mkpuchi si na Kaiser Permanente, ma b br na nke b kwa a chr ka mee ihe tupu otu bch, kp nmba enyere maka steeti ma b mpaghara g iji kwukrta okwu netiti onye kwa okwu.
Iloko (Ilocano): Adda ti karbenganyo a dumawat iti tulong iti pagsasaoyo nga awan ti bayadanyo. No addaankayo kadagiti saludsod maipanggep ti aplikasionyo wenno coverage babaen ti Kaiser Permanente, wenno no daytoy ket maysa a pakdaar a kalikagumanna a rumbeng nga aramidenyo ti addang iti espesipiko a petsa, tawagan ti numero nga inpaay para ti estado wenno rehion tapno makipatang ti maysa mangipatarus iti pagsasao.
Option 1
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Italiano (Italian): Hai il diritto di ricevere assistenza nella tua lingua gratuitamente. In caso di domande riguardanti la tua richiesta o la copertura attraverso Kaiser Permanente, o se occorre intervenire entro una data specifica secondo quanto indicato in questa comunicazione, chiama il numero fornito per il tuo stato o la tua regione per parlare con un interprete.
(Japanese): Kaiser Permanente
(Khmer): Kaiser Permanente
(Korean): . Kaiser Permanente , .
(Laotian): . Kaiser Permanente, , .
Kajin Maj (Marshallese): Ewr jimwe eo a in bk jipa ilo kajin eo a ejjek wn. e ewr a kajjitk kn peba in aplaiki eo a ak insurance eo a jn Kaiser Permanente, ak e enaan in kje in ej aikuj bwe kwn aktkt okta jn juon raan eo ej an kallikkar, kak nba eo ej lek an state eo a ak jik bwe kwn maro knono ippn juon ri-ukt.
Naabeeh (Navajo): T11 ni nizaad bee n7k1 idoolwo[ doo bik4 as7n7[11g00 47 bee n1haz3. Kaiser Permanente 1k1 an11lwo n1 bik4 azl1adoo y7n7keedgo naaltsoos hadinilaa, 47 b7na7d7[kid doogo, 47 doodago d77 naaltsoos haa7da yoo[k1a[go hait1oda 7d77l77[ ni[n7igo 47 nitsaa hahoodzoj7 47 doodago t11 aadi nahsadi ata dahalne7g77 bich8 h0lnego bee bi[ ahi[ hod77lnih.
(Nepali): Kaiser Permanente , ,
Afaan Oromoo (Oromo): Baasii malee afaan keetiin gargaarsa argachuudhaaf mirga qabda. Waaee iyyata keetii yookaan tajaajila Kaiser Permanente hammatu ilaalchisee gaaffii yoo qabaatte, yookaan yoo kun beeksisa guyyaa murtaae irratti tarkaanfii akka ati fudhattu gaafatu tae, lakkoofsa bilbilaa naannoo yookaan goodina keetiif kenname bilbiluudhaan turjumaana haasofsiisi.
(Persian): .
Kaiser Permanente
.
lokaiahn Pohnpei (Pohnpeian): Komw anehki pwung en rapahki sounkawehwe en omw palien lokaia ni sohte isaihs. Ma mie iren owmi kalelapak ohng aplikeisin de iren audepe kan ohng Kaiser Permanente, de ma pakair wet me anahne komwi en mwekid ohng rahn me kileledi, ah komw anahne koahl nempe me sansalehr ohng owmi palien wehi pwe komwi en lokaiaieng owmi tungoal soun kawehwe.
Portugus (Portuguese): Voc tem o direito de obter ajuda em seu idioma sem nenhum custo. Se voc tiver dvidas sobre sua solicitao ou cobertura por meio da Kaiser Permanente, ou se este aviso exigir que voc tome alguma medida at uma data especfica, ligue para o nmero fornecido para seu estado ou regio para falar com um intrprete.
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Have questions? Call us at 1-800-494-5314. Go to buykp.org/apply. Or contact your agent or broker.
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60436922 National 2016
(Punjabi): . Kaiser Permanente , , .
Romn (Romanian): Avei dreptul de a solicita ajutor care s v fie oferit n mod gratuit n limba dumneavoastr. Dac avei ntrebri legate de solicitarea dumneavoastr sau de acoperirea oferit de Kaiser Permanente sau dac acest aviz v solicit s luai msuri pn la o anumit dat, sunai la numrul de telefon furnizat pentru statul sau regiunea dumneavoastr pentru a sta de vorb cu un interpret.
P (Russian): . Kaiser Permanente, - , , .
Faa-Samoa (Samoan): E iai lou aia e maua se fesoasoani i lou gagana e aunoa ma le totogi. Afai e iai ni fesili e uiga i lou tusi apalai po o puipuiga e ala mai Kaiser Permanente, po o lenei tusi e manaomia ona e gaoioi i se taimi atofaina, vili le numera ua fuafuaina mo lou setete po o oganuu e fesootai i se faaliliu.
Espaol (Spanish): Usted tiene derecho a obtener ayuda en su idioma sin costo alguno. Si tiene preguntas acerca de su solicitud o cobertura a travs de Kaiser Permanente, o si este es un aviso que requiere que usted tome alguna medida antes de una fecha determinada, llame al nmero de telfono que se proporciona para su estado o regin para hablar con un intrprete.
Tagalog (Tagalog): Mayroon kang karapatang humingi ng tulong sa iyong wika nang walang bayad. Kung mayroon kang mga katanungan tungkol sa iyong aplikasyon o coverage sa pamamagitang ng Kaiser Permanente, o kung ito ay abisong nangangailangan ng iyong aksyon sa tiyak na petsa, tumawag sa numerong ibinigay para sa iyong estado o rehiyon para makipag-usap sa isang interpreter.
(Thai): Kaiser Permanente
Lea Faka-Tonga (Tongan): Oku ia ho totonu ke ke mau ha fakatonulea taetotongi. Kapau oku i ai hao fehui ki ho tohi kole nae fakafonu ki he malui inisiua a e Kaiser Permanente, pea kapau ko e tohini oku fiemau keke fai ha mea ki ai pe ko ha aho nae tuku pau atu ke fai ia, taa ki he fika kuo oatu ki ho siteiti pe ko e vahefonua oku ke i ai ke talanoa mo ha tokotaha tene fakatonu lea atu kiate koe.
(Ukrainian): . Kaiser Permanente, , , , .
(Urdu):
Kaiser Permanente
Ting Vit (Vietnamese): Qu v c quyn c nhn tr gip min ph bng ngn ng ca mnh. Nu qu v c cac cu hi v mu n hoc mc bo him ca mnh thng qua Kaiser Permanente, hoc y la thng bao yu cu qu v thc hin vao mt ngay c th, hy gi n s in thoi c cung cp cho bang hoc khu vc ca qu v tr chuyn vi phin dch vin.
Yorub (Yoruba): O n t lati r ranlw gba npa d r lasan ow. B o ba n br npa w t o k tab edd npa Kaiser Permanente, tab fitnilt y j y o nl lati gbs kan n j kan pat, p nmba t a ps fn pnl tab agbgb r lati ba gbif kan sr.
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