UnitedHealthcare
Egrifta 2 Mg Solr (tesamorelin)
Hormones : Drugs for Growth
  • HIV Lipodystrophy:
    Duration: 6 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 month(s)

  • Prior Authorization: HIV Lipodystrophy:
    Documented Diagnosis: Yes
    Duration: 6 Month(s)
    Reauthorization Required: Yes

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