- Step Therapy: Acromegaly:
ST Single Generic
- Acromegaly:
Age Requirement: >= 18
Duration: 6 Month(s)
Specialist Required: Yes
Documented Diagnosis: Yes
Medical Test Required: No
Specialist Type(s): Endocrinologist
Reauthorization Required: Yes
Duration of Reauthorization: <= 6 month(s)
- Prior Authorization: Acromegaly:
Documented Diagnosis: Yes
Age Requirement: >= 18
Duration: 6 Month(s)
Reauthorization Required: Yes
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