| UnitedHealthcare - 2014 to Present |
| Xultophy (insulin degludec-liraglutide) |
| Hormones : Drugs for Diabetes |
- May be covered under Medical Benefit.
- May be covered under Medical Benefit.
- Quantity Limit: 126 capsules per 30 day(s).
- Quantity Limit: limit maximum 60 EA PER 30 day(s)
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