UnitedHealthcare
Ruconest (C1 esterase inhibitor, recomb)
Drugs for the Blood : Drugs for the Blood
  • Prior Authorization: Hereditary Angioedema (HAE):
    Documented Diagnosis: Yes
    Duration: 12 Month(s)
    Reauthorization Required: Yes

  • Hereditary Angioedema (HAE):
    Duration: 12 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): 1 of Allergist;Immunologist
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 month(s)
    Diagnosis Type(s): Treatment of Acute HAE Attacks
    HAE Type: Unspecified
    History of Moderate or Severe Attacks: No

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