Prior Authorization Criteria SOVALDI (sofosbuvir) For ...
Prior Authorization Request Form Prior Authorization Continuation Request Form Criteria for Approval 1) Sovaldi must be prescribed by, or in conjunction with, a board certified Sovaldi [package insert]. Foster City, CA; Gilead, December 2013. ... Retrieve Document
STATE OF WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN ...
STATE OF WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES BUREAU FOR MEDICAL SERVICES Sovaldi [package insert]. Foster City, CA; Gilead, December 2013. v2015.4c created by BMT 10/05/2015 Approved by the DUR Board 09-23-2015 . ... Fetch Here
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