- Cryopyrin-Associated Periodic Syndromes (CAPS):
Duration: 12 Month(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 12 month(s)
Recurrent Pericarditis : Age Requirement: >= 12
Duration: 12 Month(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 12 month(s)
- Prior Authorization: Cryopyrin-Associated Periodic Syndromes (CAPS):
Duration: 12 Month(s)
Reauthorization Required: Yes
Recurrent Pericarditis : Documented Diagnosis: Yes
Age Requirement: >= 12
Duration: 12 Month(s)
Reauthorization Required: Yes
|