- ABSSSI:
Age Requirement: >= 18
Duration: 14 Day(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 14 day(s)
- Step Therapy: ABSSSI:
ST Multiple Generics
- Prior Authorization: ABSSSI:
Documented Diagnosis: Yes
Age Requirement: >= 18
Duration: 14 Day(s)
Reauthorization Required: Yes
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