- Prior Authorization: Anemia:
Documented Diagnosis: Yes
Medical Test Required: Yes
Duration: 3 Month(s)
Reauthorization Required: Yes
- Diabetes Type 2: Short Acting Insulin (Meal-time):
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
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