Health Net
Obizur (antihemophil FVIII,rec porcine)
Drugs for the Blood : Drugs to Prevent Bleeding
  • Hemophilia A (Factor VIII):
    Duration: 6 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): Hematologist
    Reauthorization Required: Yes
    Duration of Reauthorization: = 6 month(s)
    Dosing Limit(s): <= 200
    Diagnosis Type(s): Unspecified
    Diagnosis Treatments: 1 of Bleeding episodes;On-demand treatment
    Treatment Center Required: No

  • Prior Authorization: Hemophilia A (Factor VIII):
    Documented Diagnosis: Yes
    Duration: 6 Month(s)
    Reauthorization Required: Yes

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