Limited Use Note(s) |
|
SIROLIMUS1mg Tab
| Reason For Use Code | Clinical Criteria |
|---|---|
| 392 | For the prophylaxis of organ rejection in patients receiving allogeneic renal transplants. |
| LU Authorization Period: Indefinite |
Limited Use Note(s) |
|
| Reason For Use Code | Clinical Criteria |
|---|---|
| 392 | For the prophylaxis of organ rejection in patients receiving allogeneic renal transplants. |
| LU Authorization Period: Indefinite |