Health Net
Zeposia 7-Day Starter Pack (ozanimod)
Drugs for the Nervous System : Drugs for Multiple Sclerosis
  • Prior Authorization: Ulcerative Colitis (UC):
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 6 Month(s)

  • Step Therapy: Ulcerative Colitis (UC):
    ST Multiple Brands

  • Ulcerative Colitis (UC):
    Age Requirement: >= 18
    Duration: 6 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): Gastroenterologist
    Reauthorization Required: No
    Duration of Reauthorization: N/A
    TB Test required: No