Cialis (tadalafil tablets − Eli Lilly, generic) — Cigna
Prophylaxis After Radical Prostatectomy (Early Penile Rehabilitation)
Initial criteria
- Approve for 1 year in patients who meet BOTH of the following (A and B):
- A) Patient had radical prostatectomy within the previous 12 months; AND
- B) The medication is prescribed by or in consultation with an urologist.
Approval duration
1 year