Health Net
Myrbetriq (mirabegron)
Drugs for the Urinary System : Drugs for the Bladder
  • Quantity Limits Apply
  • Neurogenic Detrusor Overactivity (NDO):
    Age Requirement: >= 3
    Duration: 12 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 month(s)

  • Prior Authorization: Neurogenic Detrusor Overactivity (NDO):
    Documented Diagnosis: Yes
    Age Requirement: >= 3
    Duration: 12 Month(s)
    Reauthorization Required: Yes

  • Step Therapy: Neurogenic Detrusor Overactivity (NDO):
    ST Multiple Generics

<< Return | Back to top