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Indicates that no adverse fetal effects have been observed at normal doses and that pyridoxine is considered safe and often beneficial in pregnancy

Prior authorization is commonly required and often includes: Detailed history of chronic low back pain and functional impact Documentation of failed conservative therapies (6 months) MRI demonstrating findings consistent with vertebrogenic pain (e.g., Modic type 1 or 2) Workers compensation and MVA claims may also cover the procedure when medically appropriate