Limited Use Note(s) |
|
TACROLIMUS5mg Cap
| Reason For Use Code | Clinical Criteria |
|---|---|
| 173 | For solid organ transplant and bone marrow transplant. |
| LU Authorization Period: Indefinite |
Limited Use Note(s) |
|
| Reason For Use Code | Clinical Criteria |
|---|---|
| 173 | For solid organ transplant and bone marrow transplant. |
| LU Authorization Period: Indefinite |