| Western Health Advantage |
| Avonex (Syrg) (interferon beta-1a) |
| Drugs for the Nervous System : Drugs for Multiple Sclerosis |
- Multiple Sclerosis (MS):
Duration: 12 Month(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: No
Patients Cardiac Medical History Required: No
Concomitant use of other MS medication: No
- Prior Authorization: Multiple Sclerosis (MS):
Duration: 12 Month(s)
|