UnitedHealthcare
Enspryng (satralizumab-mwge)
Drugs for Organ Transplants : Drugs for Organ Transplants
  • Neuromyelitis Optica Spectrum Disorder:
    Duration: 12 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Specialist Type(s): Neurologist
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 month(s)

  • Prior Authorization: Neuromyelitis Optica Spectrum Disorder:
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Duration: 12 Month(s)
    Reauthorization Required: Yes

  • Step Therapy: Neuromyelitis Optica Spectrum Disorder:
    ST Single Brand

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