Health Net
HumuLIN N KwikPen (insulin NPH isoph U-100 human)
Hormones : Drugs for Diabetes
  • Prior Authorization: Chemo-induced Nausea and Vomiting (CINV):
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 3 Day(s)
    Reauthorization Required: Yes

    HIV Wasting:
    Age Requirement: >= 18
    Duration: 6 Month(s)
    Reauthorization Required: Yes

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