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Nuplazid (pimavanserin capsules and tablets)Cigna

Parkinson’s disease psychosis

Initial criteria

  • Patient has hallucinations and delusions associated with Parkinson’s disease psychosis
  • Patient does not have dementia-related psychosis unrelated to the hallucinations and delusions associated with Parkinson’s disease psychosis
  • Medication is prescribed by or in consultation with a neurologist

Approval duration

1 year