- Paroxysmal Nocturnal Hemoglobinuria:
Age Requirement: >= 18
Specialist Required: Yes
Documented Diagnosis: Yes
Medical Test Required: Yes
Specialist Type(s): 1 of Hematologist;Oncologist
Reauthorization Required: No
Duration of Reauthorization: N/A
- Quantity Limit: 204 strips per 30 day(s).
- Quantity Limit: limit maximum 2 ML PER 30 day(s)
- Quantity Limit: Limit 50gms per month;QL(1.7gm daily)
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