Anthem Blue Cross (HMO, PPO, EPO)
RisperDAL Consta (risperidone microspheres)
Drugs for the Nervous System : Drugs for Severe Mental Disorders
  • Psychiatry: Schizophrenia:
    Age Requirement: >= 18
    Duration: 1 year(s)
    Medical Test Required: No
    Reauthorization Required: No
    Policy Requires Documentation of Patient Noncompliance to Oral Therapy: No
    Established tolerability to oral formulation: No
    Documented Diagnosis: No

  • Step Therapy: Psychiatry: Schizophrenia:
    ST Single Generic

  • Prior Authorization: Psychiatry: Schizophrenia:
    Age Requirement: >= 18
    Duration: 1 year(s)

  • Quantity Limit: 2 injections per 28 day(s).
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