| UnitedHealthcare |
| Imitrex STATdose System (sumatriptan succinate) |
| Drugs for the Nervous System : Drugs for Migraine Headaches |
- Cluster Headache:
Specialist Required: Yes
Documented Diagnosis: Yes
Medical Test Required: No
Specialist Type(s): 1 of Neurologist;Pain Management Specialist
Reauthorization Required: No
Duration of Reauthorization: N/A
- Prior Authorization: Cluster Headache:
Documented Diagnosis: Yes
|