Health Net
Lumizyme (alglucosidase alfa)
Drugs for Metabolic Disease : Drugs for Metabolic Disease
  • Pompe Disease:
    Duration: 6 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Reauthorization Required: Yes
    Duration of Reauthorization: >= 6 month(s)

  • Prior Authorization: Pompe Disease:
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Duration: 6 Month(s)
    Reauthorization Required: Yes