UnitedHealthcare
Ultresa 23,000-46,000 Unit Cpdr (lipase-protease-amylase)
Drugs for the Stomach : Drugs for the Stomach
  • Pancreatic Insufficiency: Pancreatic Enzymes:
    Medical Test Required: No
    Reauthorization Required: No
    Documented Diagnosis: No

  • Prior Authorization: Pancreatic Insufficiency: Pancreatic Enzymes:
    PA Applies

  • Step Therapy: Pancreatic Insufficiency: Pancreatic Enzymes:
    ST Single Brand

<< Return | Back to top