| Sharp Health Plan - All plan years |
| minocycline (minocycline) |
| Drugs for the Skin : Drugs for the Skin |
- PA Applies
- Step Therapy: ST_APPLIES
- Hemophilia A (Factor VIII):
Duration: 1 year(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
Dosing Limit(s): N/A
Treatment Center Required: No
- May be covered under Medical Benefit.
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