UnitedHealthcare |
Accu-Chek Aviva Plus (blood sugar diagnostic) |
Medical Supplies and Durable Medical Equipment : Medical Supplies and Durable Medical Equipment |
- Prior Authorization: Diabetic Medical Supplies:
Documented Diagnosis: Yes
Duration: 12 Month(s)
- Quantity Limit: limit maximum 300 EA PER 30 day(s)
- Diabetic Medical Supplies:
Duration: 12 Month(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
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