UnitedHealthcare
Austedo (deutetrabenazine)
Drugs for the Nervous System : Drugs for the Nervous System
  • Chorea in Huntington's Disease:
    Duration: 12 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): 1 of Neurologist;Psychiatrist
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 month(s)

  • Prior Authorization: Chorea in Huntington's Disease:
    Documented Diagnosis: Yes
    Duration: 12 Month(s)
    Reauthorization Required: Yes

  • Quantity Limit: limit maximum 4 EA PER 1 day(s)