HealthNet - All plan years
Lotrisone (clotrimazole-betamethasone)
Drugs for the Skin : Drugs for the Skin
  • ST_APPLIES
  • Hemophilia A (Factor VIII):
    Duration: 12 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 1 plan year
    Dosing Limit(s): N/A
    Treatment Center Required: No