UnitedHealthcare
Contrave (naltrexone-bupropion)
Drugs for Eating Disorders : Drugs for Eating Disorders
  • Prior Authorization: Obesity:
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 4 Month(s)
    Reauthorization Required: Yes

  • Obesity:
    Age Requirement: >= 18
    Duration: 4 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 6 month(s)

  • Step Therapy: Obesity:
    ST Single Brand

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