Sutter Health Plus
deferasirox (deferasirox)
Drugs for Overdose or Poisoning : Drugs for Overdose or Poisoning
  • Prior Authorization: Behcet's Disease:
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 6 Month(s)
    Reauthorization Required: Yes

    Psoriasis (PsO):
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 6 Month(s)

    Psoriatic Arthritis (PsA):
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 1 plan year
    Reauthorization Required: Yes

  • Step Therapy: ST Generic and Brand

  • Step Therapy: ST_APPLIES
  • Quantity Limit: limit maximum 1 EA PER 1 day(s)