UnitedHealthcare
Linzess (linaclotide)
Drugs for the Stomach : Drugs for Constipation
  • Chronic Idiopathic Constipation:
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A
    Patient does not have known or suspected mechanical obstruction: No
    Diagnosis of severe CIC: No
    Duration Required for Patient to Have Symtoms of CIC: N/A
    Patient has known or suspected mechanical obstruction: No
    Symptoms > 3 months: No
    Failure of 1 conventional laxative therapy: Yes
    Failure of 2 conventional laxative therapies: No
    Failure of 3 conventional laxative therapies: No

    Gastro: IBS-C:
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A
    Duration of IBS Symptoms Required: N/A
    No Known Mechanical GI Obstruction: No
    Documented Diagnosis: No
    Documented Symptoms >= 3 Months: No

  • Prior Authorization: Gastro: IBS-C:
    PA Applies
  • Quantity Limit: limit maximum 1 EA PER 1 day(s)
  • Step Therapy: Gastro: IBS-C:
    Step Applies