Diclegis — United Healthcare

Initial criteria

• Diagnosis of nausea and vomiting associated with pregnancy
• Documented failure or contraindication to lifestyle modifications (e.g., diet, avoidance of triggers)
• Documented trial and failure or contraindication to a five-day trial of over-the-counter doxylamine taken together with pyridoxine (not a combined dosage form, but separate formulations taken concomitantly)

Approval duration

9 months