UnitedHealthcare - 2014 to Present
Nuvigil (armodafinil)
Drugs for the Nervous System : Drugs for Sleep Disorder
  • ST_APPLIES
  • Prior Authorization: Dravet Syndrome:
    Documented Diagnosis: Yes
    Age Requirement: >= 2
    Duration: 12 Month(s)
    Reauthorization Required: Yes

    Neurology: Epilepsy:
    Documented Diagnosis: Yes
    Age Requirement: >= 2
    Duration: 1 plan year
    Reauthorization Required: Yes