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
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