Health Net
Kogenate FS (antihemophil FVIII,full length)
Drugs for the Blood : Drugs to Prevent Bleeding
  • Step Therapy Applies
  • Prior Authorization: Hemophilia A (Factor VIII):
    Documented Diagnosis: Yes
    Duration: 12 Month(s)
    Reauthorization Required: Yes

  • 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

<< Return | Back to top