Health Net
Crysvita (burosumab-twza)
Hormones : Drugs for Menopause and Bone Loss
  • Step Therapy Applies
  • Tumor-induced osteomalacia (TIO):
    Age Requirement: >= 2
    Duration: 6 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Specialist Type(s): 1 of Endocrinologist;Metabolic Specialist
    Reauthorization Required: Yes
    Duration of Reauthorization: >= 6 month(s)

    X-linked hypophosphatemia (XLH):
    Age Requirement: >= 1
    Duration: 6 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Specialist Type(s): 1 of Endocrinologist;Metabolic Specialist
    Reauthorization Required: Yes
    Duration of Reauthorization: >= 6 month(s)

  • Prior Authorization: Tumor-induced osteomalacia (TIO):
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Age Requirement: >= 2
    Duration: 6 Month(s)
    Reauthorization Required: Yes

    X-linked hypophosphatemia (XLH):
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Age Requirement: >= 1
    Duration: 6 Month(s)
    Reauthorization Required: Yes

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