| Health Net |
| Zortress (everolimus (immunosuppressive)) |
| Drugs for Organ Transplants : Drugs for Organ Transplants |
- Transplant Rejection Prophylaxis:
Age Requirement: >= 18
Duration: 6 Month(s)
Specialist Required: Yes
Documented Diagnosis: Yes
Medical Test Required: Yes
Specialist Type(s): 1 of Hepatologist;Nephrologist;Transplant Specialist
Reauthorization Required: Yes
Duration of Reauthorization: = 1 plan year
- Prior Authorization: Transplant Rejection Prophylaxis:
Documented Diagnosis: Yes
Medical Test Required: Yes
Age Requirement: >= 18
Duration: 6 Month(s)
Reauthorization Required: Yes
- Step Therapy: Transplant Rejection Prophylaxis:
ST Multiple Generics
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