Sutter Health Plus
Strensiq (asfotase alfa)
Drugs for Metabolic Disease : Drugs for Metabolic Disease
  • PA Required
  • Prior Authorization: ADHD:
    Documented Diagnosis: Yes
    Duration: 12 Month(s)

  • Prior Authorization: Cutaneous T-Cell Lymphomas:
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 6 Month(s)
    Reauthorization Required: Yes

  • Step Therapy: NSAIDs for Arthritis:
    ST Multiple Generics

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