Oscar |
Vaxelis (dip,per(a)tet-hepB-pol-Hib(PF)) |
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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