Anthem Blue Cross (HMO, PPO, EPO)
Nuedexta (dextromethorphan-quinidine)
Drugs for the Nervous System : Drugs for Severe Mental Disorders
  • Prior Authorization: Pseudo-Bulbar Affect:
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 1 year(s)

  • Quantity Limit: 2 capsules per 1 day(s).
  • Pseudo-Bulbar Affect:
    Age Requirement: >= 18
    Duration: 1 year(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A