Sign In
Coverage
Check coverage
Home
Tetrabenazine - Tetrabenazine tablet
University of Utah Health Plans (MCO)
University of Utah Health Plans (MCO) Coverage for Tetrabenazine - Tetrabenazine tablet
All
5
Commercial
3
Health Exchange
1
Managed Medicaid
1
Commercial
Commercial - HMO
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - PPO
PA Required
No Step Therapy
Quantity Limit
See Details
Commercial - Employer
PA Required
No Step Therapy
Quantity Limit
See Details
Health Exchange
Health Exchange - PPO - Health Insurance Exchange
PA Required
No Step Therapy
Quantity Limit
See Details
Managed Medicaid
Managed Medicaid - HMO - Medicaid
PA Required
No Step Therapy
Quantity Limit
See Details
Support for Getting Your Patient on Tetrabenazine - Tetrabenazine tablet
Check medication interactions
Does University of Utah Health Plans Cover Tetrabenazine - Tetrabenazine tablet? 5 Plans (2026)