- 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): Variable
Diagnosis Type(s): 1 of Mild;Severe
Diagnosis Treatments: 1 of Bleeding episodes;Peri-procedural operative management;Routine propylaxis
Treatment Center Required: No
- Subject to initial 7-day limit;
- PA Applies
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