Health Net
Rezurock (belumosudil)
Drugs for Pain and Fever : Arthritis and Pain Drugs
  • Graft Versus Host Disease (GVHD):
    Age Requirement: >= 12
    Duration: 12 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): 1 of Bone Marrow Specialist;Hematologist;Oncologist
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 month(s)

  • Step Therapy: Graft Versus Host Disease (GVHD):
    ST Multiple Generics

  • Prior Authorization: Graft Versus Host Disease (GVHD):
    Documented Diagnosis: Yes
    Age Requirement: >= 12
    Duration: 12 Month(s)
    Reauthorization Required: Yes