UnitedHealthcare
Xenazine (tetrabenazine)
Drugs for the Nervous System : Drugs for the Nervous System
  • Chorea in Huntington's Disease:
    Duration: 3 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): Neurologist
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 month(s)

  • Prior Authorization: Chorea in Huntington's Disease:
    Documented Diagnosis: Yes
    Duration: 3 Month(s)
    Reauthorization Required: Yes

  • Step Therapy: Chorea in Huntington's Disease:
    ST Single Generic

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