- Limited Access.
- 1. Health Net Approved Indications and Usage Guidelines: A. Confirmed diagnosis of PAH (WHO Group l). 2. Authorization Limit: Length of Benefit
- Prior Authorization: Pulmonary Arterial Hypertension:
Duration: 1 plan year
- Pulmonary Arterial Hypertension:
Duration: 1 plan year
Specialist Required: Yes
- Step Therapy: Pulmonary Arterial Hypertension:
ST Single Generic
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