- Topical Psoriasis:
Age Requirement: >= 12
Duration: 1 Month(s)
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: <= 1 month(s)
Documented Diagnosis: Yes
- Prior Authorization: Topical Psoriasis:
PA Applies
- Step Therapy: Topical Psoriasis:
Step Applies
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