UnitedHealthcare
Spinraza (nusinersen (PF))
Drugs for Nerves and Muscles : Drugs for Nerves and Muscles
  • Prior Authorization: Spinal Muscular Atrophy (SMA):
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Duration: 3 Month(s)
    Reauthorization Required: Yes

  • Spinal Muscular Atrophy (SMA):
    Duration: 3 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Specialist Type(s): 1 of Neurologist;SMA Specialist
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 month(s)

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