Oscar
Vaxelis (dip%2Cper%28a%29tet-hepB-pol-Hib%28PF%29)
Biological Agents : Vaccines
  • Prior Authorization: Familial Amyloid Polyneuropathy (FAP):
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Age Requirement: >= 18
    Duration: 6 Month(s)
    Reauthorization Required: Yes