UnitedHealthcare
Duopa (carbidopa-levodopa)
Drugs for the Nervous System : Drugs for Parkinson
  • Quantity Limit: 30 day supply per 1 fill(s).
  • Prior Authorization: Anemia:
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Duration: 6 Month(s)
    Reauthorization Required: Yes

    Anemia due to Chemotherapy:
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Age Requirement: >= 18
    Duration: 6 Month(s)

  • Prior Authorization: PA_APPLIES
<< Return | Back to top