Qulipta — United Healthcare
preventive treatment of migraines
Initial criteria
- Documentation of positive clinical response to therapy
- Medication will not be used in combination with another CGRP antagonist or inhibitor used for the preventive treatment of migraines (e.g., Aimovig, Ajovy, Emgality, Nurtec ODT, Vyepti)
Reauthorization criteria
- Documentation of positive clinical response to therapy
- Medication will not be used in combination with another CGRP antagonist or inhibitor used for the preventive treatment of migraines (e.g., Aimovig, Ajovy, Emgality, Nurtec ODT, Vyepti)
Approval duration
12 months