- Topical Psoriasis:
Age Requirement: >= 18
Duration: 12 Month(s)
Specialist Required: Yes
Medical Test Required: No
Specialist Type(s): Dermatologist
Reauthorization Required: Yes
Duration of Reauthorization: = 12 month(s)
Documented Diagnosis: Yes
- Prior Authorization: Topical Psoriasis:
PA Applies
- Step Therapy: Topical Psoriasis:
Step Applies
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