UnitedHealthcare
Tracleer (bosentan)
Drugs for the Heart : Drugs for High Blood Pressure
  • Prior Authorization: Pulmonary Arterial Hypertension:
    Duration: 12 Month(s)

  • Pulmonary Arterial Hypertension:
    Duration: 12 Month(s)
    Specialist Required: Yes

  • Quantity Limit: limit maximum 112 EA PER 28 day(s)
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