| UnitedHealthcare - 2014 to Present |
| Seysara (sarecycline) |
| Drugs for the Skin : Drugs for the Skin |
- Quantity Limit: 1 vial per 3 months(s).
- Tuberous Sclerosis Complex:
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- Quantity Limit: 2 tablets per 1 day(s).
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