Health Net
Vpriv (velaglucerase alfa)
Drugs for Metabolic Disease : Drugs for Metabolic Disease
  • Prior Authorization: Gaucher Disease:
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Age Requirement: >= 4
    Duration: 6 Month(s)
    Reauthorization Required: Yes

  • Gaucher Disease:
    Age Requirement: >= 4
    Duration: 6 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Reauthorization Required: Yes
    Duration of Reauthorization: >= 6 month(s)

<< Return | Back to top