UnitedHealthcare
Vyzulta (latanoprostene bunod)
Hormones : Hormones
  • Step Therapy: Glaucoma:
    ST Single Generic

  • Prior Authorization: Glaucoma:
    Reauthorization Required: Yes

  • Glaucoma:
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: Unspecified
    Documented Diagnosis: No

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