UnitedHealthcare
Synojoynt (Intra-Articular Syrg) (Hyaluronate Sodium)
Drugs for Muscles, Ligaments, Tendons, and Bones : Drugs for Muscles, Ligaments, Tendons, and Bones
  • Step Therapy Applies
  • Prior Authorization: Osteoarthritis: OA of the Knee:
    Documented Diagnosis: Yes
    Duration: 6 Month(s)
    Reauthorization Required: Yes

  • Osteoarthritis: OA of the Knee:
    Duration: 6 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 6 month(s)
    Elapsed Duration Since Previous Course of Therapy: N/A

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