| UnitedHealthcare - 2014 to Present |
| Xermelo (telotristat ethyl) |
| Drugs for the Stomach : Drugs for Diarrhea |
- QL (90 per Rx);
- Diabetic Medical Supplies:
Duration: 1 plan year
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 1 plan year
|