UnitedHealthcare
Caya (diaphragms, contoured)
Medical Supplies and Durable Medical Equipment : Medical Supplies and Durable Medical Equipment
  • Prior Authorization: Atopic Dermatitis (Eczema):
    Documented Diagnosis: Yes
    Age Requirement: >= 12
    Duration: 1 plan year
    Reauthorization Required: Yes

    Psoriatic Arthritis (PsA):
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 6 Month(s)
    Reauthorization Required: Yes

    Rheumatoid Arthritis (RA):
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 1 plan year
    Reauthorization Required: Yes

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