- Myelodysplastic Syndrome:
Duration: 12 Month(s)
Specialist Required: Yes
Documented Diagnosis: Yes
Medical Test Required: No
Specialist Type(s): 1 of Hematologist;Oncologist
Specialty Pharmacy Provider(s): OptumRx
Reauthorization Required: No
Duration of Reauthorization: N/A
- Prior Authorization: Myelodysplastic Syndrome:
Documented Diagnosis: Yes
Duration: 12 Month(s)
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