Sutter Health Plus
insulin asp prt-insulin aspart (insulin asp prt-insulin aspart)
Hormones : Drugs for Diabetes
  • Cryopyrin-Associated Periodic Syndromes (CAPS):
    Age Requirement: >= 12
    Duration: 6 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: No
    Medical Test Required: No
    Specialist Type(s): Rheumatologist
    Reauthorization Required: Yes
    Duration of Reauthorization: >= 6 month(s)

    Recurrent Pericarditis :
    Age Requirement: >= 12
    Duration: 6 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): 1 of Cardiologist;Rheumatologist
    Reauthorization Required: Yes
    Duration of Reauthorization: >= 6 month(s)

  • Quantity Limit: 2 tablets per 1 day(s).
  • Prior Authorization: Erectile Dysfunction (ED):
    Duration: 1 year(s)

  • Quantity Limit: 0.5 units per 1 day(s).
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