UnitedHealthcare - 2014 to Present
Absorica LD (isotretinoin, micronized)
Drugs for the Skin : Drugs for the Skin
  • ST_APPLIES
  • Quantity Limit: 30 day supply per 1 fill(s).
  • Prior Authorization: Endometriosis:
    Documented Diagnosis: Yes
    Duration: 6 Month(s)
    Reauthorization Required: Yes

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