Sharp Health Plan - All plan years
Xepi (ozenoxacin)
Drugs for the Skin : Drugs for the Skin
  • Step Therapy: ST_APPLIES
  • Juvenile Idiopathic Arthritis:
    Age Requirement: >= 2
    Duration: 6 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): 1 of Dermatologist;Gastroenterologist;Rheumatologist
    Reauthorization Required: Yes
    Duration of Reauthorization: = 6 month(s)
    TB Test required: No

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