- Step Therapy: Community Acquired Bacterial Pneumonia:
ST Multiple Generics
- Community Acquired Bacterial Pneumonia:
Age Requirement: >= 18
Duration: 7 Day(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: <= 7 day(s)
- Prior Authorization: Community Acquired Bacterial Pneumonia:
Documented Diagnosis: Yes
Age Requirement: >= 18
Duration: 7 Day(s)
Reauthorization Required: Yes
|