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generic tenofovir disoproxil fumarate 300 mgUnited Healthcare

HIV Pre-exposure Prophylaxis (PrEP)

Initial criteria

  • Member is taking generic tenofovir disoproxil fumarate 300 mg as effective antiretroviral therapy for PrEP
  • AND
  • Generic tenofovir disoproxil fumarate 300 mg will be used as part of a comprehensive prevention strategy including other prevention measures

Approval duration

12 months