Cigna + Oscar
Savella Titration Pack (milnacipran)
Drugs for the Nervous System : Drugs for Depression
  • 1; User Field 13;
  • Prior Authorization: Hereditary Angioedema (HAE):
    Documented Diagnosis: Yes
    Duration: 12 Month(s)
    Reauthorization Required: Yes

  • Prior Authorization: PA Applies