Health Net |
Fanapt Titration Pack (iloperidone) |
Drugs for the Nervous System : Drugs for Severe Mental Disorders |
- Step Therapy Applies
- Psychiatry: Schizophrenia:
Age Requirement: >= 18
Duration: 1 plan year
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 1 plan year
Policy Requires Documentation of Patient Noncompliance to Oral Therapy: No
Established tolerability to oral formulation: No
Documented Diagnosis: Yes
- Prior Authorization: Psychiatry: Schizophrenia:
Documented Diagnosis: Yes
Age Requirement: >= 18
Duration: 1 plan year
Reauthorization Required: Yes
|