- Coverage of drugs is first determined by the member's pharmacy benefit. I. Health Net Approved Indications and Usage Guidelines: 1. Clinically definite MS confirmed by a neurologist. Coverage is Not Authorized For: Patients with a prior history of seizure. II. Authorization Limit: Length of Benefit.
- MS Walking Support:
Age Requirement: >= 18
Specialist Required: Yes
Documented Diagnosis: Yes
Medical Test Required: No
Specialist Type(s): Neurologist
Specialty Pharmacy Provider(s): AcariaHealth
Reauthorization Required: Yes
Duration of Reauthorization: Variable
- Step Therapy: MS Walking Support:
ST Single Generic
- Prior Authorization: MS Walking Support:
Documented Diagnosis: Yes
Age Requirement: >= 18
Reauthorization Required: Yes
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