Health Net
Vyvgart (efgartigimod alfa-fcab)
Drugs for Nerves and Muscles : Drugs for Nerves and Muscles
  • Myasthenia Gravis:
    Age Requirement: >= 18
    Duration: 6 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Specialist Type(s): Neurologist
    Reauthorization Required: Yes
    Duration of Reauthorization: = 6 month(s)

  • Prior Authorization: Myasthenia Gravis:
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Age Requirement: >= 18
    Duration: 6 Month(s)
    Reauthorization Required: Yes

  • Step Therapy: Myasthenia Gravis:
    ST Multiple Generics

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