- May be covered under Medical Benefit.
- ST_APPLIES
- Urea Cycle Disorder:
Duration: 1 year(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- Prior Authorization: Growth Hormone Deficiency:
Documented Diagnosis: Yes
Duration: 1 Day(s)
Reauthorization Required: Yes
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