Health Net
Valcyte (valganciclovir)
Drugs for Infections : Drugs for Viral Infections
  • Cytomegalovirus (CMV):
    Duration: 12 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Reauthorization Required: Yes
    Duration of Reauthorization: <= 12 month(s)

  • Prior Authorization: Cytomegalovirus (CMV):
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Duration: 12 Month(s)
    Reauthorization Required: Yes

<< Return | Back to top