HumanaCommercial Clinical Policy

Non-Sedating Antihistamines Form

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Non-Sedating Antihistamines

Notes: Initial Non-Sedating Antihistamines (Clarinex, Clarinex-D, and desloratadine ODT) will be approved in plan year durations or as determined through clinical review.

Indications

(787084) Has the patient had previous treatment or intolerance to ONE of the following: desloratadine or levocetirizine? 

Effective Date

01/01/2016

Last Reviewed

01/12/2023

Original Document

  Reference



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