| UnitedHealthcare |
| Orenitram (treprostinil diolamine) |
| Drugs for the Heart : Drugs for High Blood Pressure |
- Prior Authorization: Pulmonary Arterial Hypertension:
Duration: 12 Month(s)
- Quantity Limit: limit maximum 6 EA PER 1 day(s)
- Step Therapy: Pulmonary Arterial Hypertension:
ST Multiple Generics
- Pulmonary Arterial Hypertension:
Duration: 12 Month(s)
Specialist Required: Yes
|