UnitedHealthcare
Nuedexta (dextromethorphan-quinidine)
Drugs for the Nervous System : Drugs for Severe Mental Disorders
  • Quantity Limit: limit maximum 2 EA PER 1 day(s)
  • Prior Authorization: Pseudo-Bulbar Affect:
    Documented Diagnosis: Yes
    Duration: 3 Month(s)
    Reauthorization Required: Yes

  • Pseudo-Bulbar Affect:
    Duration: 3 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 month(s)