- Step Therapy: Clostridium Difficile-Associated Diarrhea/Infection (CDAD/CDI):
ST Single Generic
- Clostridium Difficile-Associated Diarrhea/Infection (CDAD/CDI):
Age Requirement: >= 18
Duration: 3 Month(s)
Documented Diagnosis: Yes
Medical Test Required: Yes
Reauthorization Required: No
Duration of Reauthorization: N/A
- Prior Authorization: Clostridium Difficile-Associated Diarrhea/Infection (CDAD/CDI):
Documented Diagnosis: Yes
Medical Test Required: Yes
Age Requirement: >= 18
Duration: 3 Month(s)
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