| UnitedHealthcare |
| Adhansia XR (methylphenidate HCl) |
| Drugs for the Nervous System : Drugs for Attention Deficit Disorder |
- ADHD:
Duration: 12 Month(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
- Step Therapy: ADHD:
ST Multiple Generics
- Prior Authorization: ADHD:
Documented Diagnosis: Yes
Duration: 12 Month(s)
|