UnitedHealthcare
Orgovyx (relugolix)
Drugs for Cancer : Drugs for Cancer
  • Prior Authorization: Diabetes Type 2: GLP1 + Combo:
    Documented Diagnosis: Yes
    Duration: 12 Month(s)

  • Step Therapy: ST_APPLIES
  • Preventive Drug: Zero copay.
  • Quantity Limit: limit maximum 4 EA PER 25 day(s)
<< Return | Back to top