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Coverage / Medica / Xenazine / Tardive dyskinesia

Xenazine — Medica

Tardive dyskinesia

Initial criteria

Patient age ≥ 18 years
Medication is prescribed by or in consultation with a neurologist or psychiatrist

Approval duration

1 year

Provenance

View official policy PDF

Plan: Medica
Drug: Xenazine
Indication: Tardive dyskinesia
Last seen: 2025-10-06
Hash: 78c2c8fbd58f…

Disclaimer: Educational only. Coverage varies by employer group and formulary. Always verify with the plan.

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Disclaimer: Educational use only. Coverage varies by employer group and formulary. Always verify with the plan.

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