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Drug - Grastek® (timothy grass pollen allergen extract) [Merck Sharp & Dohme Corp.]

November 2014

Therapeutic area - Allergy therapy

Approval criteria

  • Patient must be 5 years old or older AND
  • Patient has had a skin test positive to timothy grass pollen AND
  • Patient has tried and failed at least one drug out of 2 of the 3 following classes in the last 730 days: intranasal corticosteroids, oral antihistamines, leukotriene receptor antagonists OR
  • Patient has tried allergen-specific immunotherapy injections in the last 730 days

Quantity limits

34 tablets per 34 days


MHCP Provider Call Center 651-431-2700 or 800-366-5411

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