| UnitedHealthcare |
| Nuedexta (dextromethorphan-quinidine) |
| Drugs for the Nervous System : Drugs for Severe Mental Disorders |
- Quantity Limit: 1 capsule per 1 day(s).
- Step Therapy: ST_APPLIES
- Pompe Disease:
Duration: 6 Month(s)
Documented Diagnosis: Yes
Medical Test Required: Yes
Reauthorization Required: Yes
Duration of Reauthorization: >= 6 month(s)
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