UnitedHealthcare
Austedo 12Mg Start Titr(Wk1-4) (deutetrabenazine)
Drugs for the Nervous System : Drugs for the Nervous System
  • Quantity Limits Apply
  • Chorea in Huntington's Disease:
    Duration: 12 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): 1 of Neurologist;Psychiatrist
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 month(s)

  • Prior Authorization: Chorea in Huntington's Disease:
    Documented Diagnosis: Yes
    Duration: 12 Month(s)
    Reauthorization Required: Yes