UnitedHealthcare
Adzenys ER (amphetamine)
Drugs for the Nervous System : Drugs for Attention Deficit Disorder
  • Quantity Limits Apply
  • Prior Authorization: ADHD:
    Documented Diagnosis: Yes
    Duration: 12 Month(s)

  • ADHD:
    Duration: 12 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A

  • Step Therapy: ADHD:
    ST Multiple Generics

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