- Prior Authorization: PA_APPLIES
- Step Therapy: Adult Onset Stills Disease (AOSD):
ST Multiple Generics
Juvenile Idiopathic Arthritis:
ST Multiple Brands
Rheumatoid Arthritis (RA):
ST Generic and Brand
- Acromegaly:
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
Cushings Syndrome:
Duration: 1 year(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
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