UnitedHealthcare
Balversa (erdafitinib)
Drugs for Cancer : Drugs for Cancer
  • Step Therapy: ST_APPLIES
  • Quantity Limit: limit maximum 30 day(s) supply
  • Step Therapy: Cervical Dystonia, Limb Spasticity, Spasticity: Adult:
    ST Single Brand

    Chronic Sialorrhea, Migraine, Migraine Prevention:
    ST Multiple Generics

    Neurogenic Detrusor Overactivity (NDO), Overactive Bladder:
    ST Generic and Brand

    Pediatric Upper Limb Spasticity, Spasticity: Upper Limb:
    ST Multiple Brands

    Primary Axillary Hyperhidrosis:
    ST Single Generic

  • Quantity Limit: 0.29 patches per 1 day(s).