Oscar
nortriptyline (nortriptyline)
Drugs for the Nervous System : Drugs for Depression
  • Step Therapy: Oncology: Carcinoid Syndrome:
    ST Single Generic

  • Diabetes Type 2: GLP1 + Combo:
    Age Requirement: >= 18
    Duration: 6 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Reauthorization Required: Yes
    Duration of Reauthorization: = 6 month(s)
    Supporting Documentation Requirements: 1 of Chart Notes;Lab Tests;Medication History

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