Limited Use Note(s)

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GRASS POLLEN ALLERGEN EXTRACT300IR SL Tab
Reason For Use CodeClinical Criteria
451For the seasonal treatment of grass pollen allergic rhinitis in patients that have not adequately responded to, or tolerated, conventional pharmacotherapy. Notes: - Treatment with grass pollen allergen extract must be initiated by physicians with adequate training and experience in the treatment of respiratory allergic diseases. - Treatment should be initiated four (4) months before the onset of pollen season and should only be continued until the end of the season. - Treatment should not be taken for more than three (3) consecutive years.
LU Authorization Period: 1 year