Asthma (injectable):
Age Requirement: >= 6
Duration: 12 Month(s)
Specialist Required: Yes
Documented Diagnosis: Yes
Medical Test Required: Yes
Specialist Type(s): 1 of Allergist;Pulmonologist
Reauthorization Required: No
Duration of Reauthorization: N/A
# of exacerbations in prior year: >= 2
History of corticosteroid use: > 3 months
Additional controller failure requirement: 1
EOS levels required at baseline (cellsmcl): >= 150
EOS history requirements (300 cellsmcl in prior 12 months): >= 300
Diagnosis Type: Moderate to Severe
Patient Weight Required: No
Must Be Compliant with Therapy: No
Non-smoker or Will Begin Smoking Cessation Efforts: No
Symptoms Are Not Adequately Controlled: Yes
Exacerbation Requiring Treatment with Systemic Corticosteroid: Optional
Use in Combination with Other Injectable Asthma Product: No
Positive Skin Test or In Vitro Test (RAST) to a Perennial Aeroallergen: No
IgE Level Required: No
Administered in a Controlled Healthcare Setting with Access to Emergency Medications: No
Submission of Medical Records Required: No
Eosinophilic asthma phenotype: Yes
Injectable ST Required: No

Atopic Dermatitis (Eczema):
Age Requirement: >= 1
Duration: 12 Month(s)
Specialist Required: Yes
Documented Diagnosis: Yes
Medical Test Required: No
Specialist Type(s): 1 of Allergist;Dermatologist
Reauthorization Required: Yes
Duration of Reauthorization: = 12 month(s)
Initial Authorization - POEM Values: N/A
Initial Authorization - SCORAD Values: N/A
Initial Authorization - EASI Values: N/A
Initial Authorization - IGA Values: N/A
Initial Authorization - PGA Values: N/A
Initial Authorization - ISGA Values: N/A
Initial Authorization - BSA Values: N/A
Physician Attestation for Initiation Required: No
Step Trial Length Period: N/A
Reauthorization Assessment Required: None

Eosinophilic Esophagitis (EoE):
Age Requirement: >= 12
Duration: 12 Month(s)
Specialist Required: Yes
Documented Diagnosis: Yes
Medical Test Required: No
Specialist Type(s): Gastroenterologist
Reauthorization Required: Yes
Duration of Reauthorization: = 12 month(s)

Nasal Polyposis:
Age Requirement: >= 18
Duration: 12 Month(s)
Specialist Required: Yes
Documented Diagnosis: Yes
Medical Test Required: No
Specialist Type(s): Otolaryngologist (Ear, Nose, and Throat Specialist)
Reauthorization Required: Yes
Duration of Reauthorization: = 12 month(s)