Uloric
| Covered Uses: | All FDA approved indications not otherwise excluded from Part D. |
| Exclusion Criteria: | |
| Required Medical Information: | Patient must have experienced intolerance/inadequate therapeutic response to generic allopurinol OR have a creatinine clearance less than 50 mL/min. |
| Age Restrictions: | |
| Prescriber Restrictions: | |
| Coverage Duration: | Lifetime |
| Other Criteria: |
Last Modified on 12/20/2012