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
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