Neutropenia:
Duration: 6 Month(s)
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 6 month(s)
Supporting Documentation Requirements: Chart Notes
Dosing Limit Defined In Policy: 1 of 24mcg/kg/day;30mcg/kg/day
Documented Diagnosis: Yes
Criteria includes risk factor for developing FN: No