UnitedHealthcare
Varubi (Emul) (rolapitant)
Drugs for the Stomach : Drugs for Vomiting and Nausea
  • Chemo-induced Nausea and Vomiting (CINV):
    Duration: 6 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A
    NV associated with highly emetogenic cancer chemotherapy (HEC): Yes
    NV associated with moderately emetogenic cancer chemotherapy (MEC): Yes
    Concomitant therapy with Corticosteroid: No
    Concomitant therapy with 5-HT3 Antagonist: No

  • Prior Authorization: Chemo-induced Nausea and Vomiting (CINV):
    Documented Diagnosis: Yes
    Duration: 6 Month(s)