Field - University of Washington
Sep 01, 2017 · Point of Sale (POS) prior authorization approval criteria require ICD-10 code E72.11 (homocystinuria) in Medicaid diagnosis history in previous 2 years. ... (CEA) 5-point scale for the baseline pre-dose Day-1. ... Most recent platinum-containing chemo regiment ended longer ago than 8 weeks prior to initial request; or. ................
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