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Notes: PA requests for Nucala will only be approved for use to treat the identified clinical conditions: Clinical criteria that must be documented for approval of a PA request for Nucala for members with asthma with an eosinophilic phenotype are all of the following: Supporting clinical information and a copy of the member's current medical records must be submitted with all PA requests for Nucala for members with asthma with an eosinophilic phenotype

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