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    v1.0.30
    OpenPayerPolicy UpdatesPharmacy & Specialty DrugsUPMC Health Plan Adzynma Prior Auth | OpenPayer
    Ask Trek AI about this page
    CurrentUPMC Health PlanPolicy N/A

    Adzynma (recombinant ADAMTS13) Coverage Criteria

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    This document appears to concern UPMC Health Plan Medicaid coverage and prior authorization for Adzynma (recombinant ADAMTS13). The available source text contains only PDF viewer metadata and does not provide clinical coverage criteria or authorization requirements.

    Policy Summary
    PayerUPMC Health Plan
    PolicyAdzynma (recombinant ADAMTS13) Coverage Criteria
    Policy CodePolicy N/A
    Change TypeNo material change
    Effective DateN/A
    Next Review DateN/A
    Key ActionNo provider action is specified in the available source.
    SourceLink
    POLICY UPDATE CHANGES

    No material clinical or coverage changes in this revision.

    N/AClinical criteria
    N/AAuthorization requirements
    Policy Summary
    PayerUPMC Health Plan
    PolicyAdzynma (recombinant ADAMTS13) Coverage Criteria
    Policy CodePolicy N/A
    Change TypeNo material change
    Effective DateN/A
    Next Review DateN/A
    Key ActionNo provider action is specified in the available source.
    SourceLink

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