Western Health Advantage
Rhopressa (netarsudil)
Drugs for the Eye : Drugs for Glaucoma
  • PA Required
  • Prior Authorization: Glaucoma:
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 1 year(s)

  • Step Therapy: Glaucoma:
    ST Multiple Generics

  • Glaucoma:
    Age Requirement: >= 18
    Duration: 1 year(s)
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A
    Documented Diagnosis: Yes

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