UnitedHealthcare
Lupkynis (voclosporin)
Drugs for Organ Transplants : Drugs for Organ Transplants
  • Prior Authorization: Lupus Nephritis:
    Documented Diagnosis: Yes
    Duration: 6 Month(s)
    Reauthorization Required: Yes

  • Quantity Limit: limit maximum 6 EA PER 1 day(s)
  • Lupus Nephritis:
    Duration: 6 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 6 month(s)

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