UnitedHealthcare
Tiglutik (riluzole)
Drugs for Nerves and Muscles : Drugs for Nerves and Muscles
  • Prior Authorization: Amyotrophic Lateral Sclerosis (ALS):
    Documented Diagnosis: Yes
    Duration: 12 Month(s)

  • Amyotrophic Lateral Sclerosis (ALS):
    Duration: 12 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A

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