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Inbrija (levodopa inhalation powder)United Healthcare

Parkinson’s disease with OFF episodes

Initial criteria

  • Diagnosis of Parkinson’s disease
  • Used as intermittent treatment for OFF episodes
  • Patient is currently on and will continue to receive treatment with a carbidopa/levodopa-containing medication

Reauthorization criteria

  • Documentation of positive clinical response to Inbrija therapy
  • Patient will continue to receive treatment with a carbidopa/levodopa-containing medication

Approval duration

12 months