UnitedHealthcare - 2014 to Present
Dulera (mometasone-formoterol)
Drugs for the Lungs : Drugs for Asthma/COPD
  • Prior Authorization: Urea Cycle Disorder:
    Duration: 1 year(s)

  • Vasomotor Symptoms Associated with Menopause (VMS):
    Duration: 1 year(s)
    Documented Diagnosis: No
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A