Health Net
Cortrophin (corticotropin)
Hormones : Hormones
  • Step Therapy Applies
  • Prior Authorization: Multiple Sclerosis Exacerbation:
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 3 week(s)

  • Multiple Sclerosis Exacerbation:
    Age Requirement: >= 18
    Duration: 3 week(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): Neurologist
    Reauthorization Required: No
    Duration of Reauthorization: N/A

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