Prior Authorization: Asthma (injectable):
Documented Diagnosis: Yes
Medical Test Required: Yes
Age Requirement: >= 6
Duration: 12 Month(s)

Atopic Dermatitis (Eczema):
Documented Diagnosis: Yes
Age Requirement: >= 1
Duration: 12 Month(s)
Reauthorization Required: Yes

Eosinophilic Esophagitis (EoE):
Documented Diagnosis: Yes
Age Requirement: >= 12
Duration: 12 Month(s)
Reauthorization Required: Yes

Nasal Polyposis:
Documented Diagnosis: Yes
Age Requirement: >= 18
Duration: 12 Month(s)
Reauthorization Required: Yes