| Oscar Health - 2018 to Present |
| clocortolone pivalate (clocortolone pivalate) |
| Drugs for the Skin : Drugs for the Skin |
- Prior Authorization: Asthma (injectable):
Documented Diagnosis: Yes
Medical Test Required: Yes
Age Requirement: >= 6
Duration: 12 Month(s)
Atopic Dermatitis (Eczema):
Documented Diagnosis: Yes
Age Requirement: >= 1
Duration: 12 Month(s)
Reauthorization Required: Yes
Eosinophilic Esophagitis (EoE):
Documented Diagnosis: Yes
Age Requirement: >= 12
Duration: 12 Month(s)
Reauthorization Required: Yes
Nasal Polyposis:
Documented Diagnosis: Yes
Age Requirement: >= 18
Duration: 12 Month(s)
Reauthorization Required: Yes
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