UnitedHealthcare - 2014 to Present
Elidel (pimecrolimus)
Drugs for the Skin : Drugs for the Skin
  • Osteoarthritis: OA of the Knee:
    Duration: 6 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): 1 of Orthopedic Specialist;Rheumatologist;Sports Medicine Specialist
    Reauthorization Required: Yes
    Duration of Reauthorization: = 6 month(s)
    Elapsed Duration Since Previous Course of Therapy: 6 month(s)

  • Quantity Limit: 200 syringes per 30 day(s).