UnitedHealthcare
Prevymis (letermovir)
Drugs for Infections : Drugs for Viral Infections
  • Cytomegalovirus (CMV):
    Duration: 6 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A

  • Prior Authorization: Cytomegalovirus (CMV):
    Documented Diagnosis: Yes
    Duration: 6 Month(s)

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