| Health Net |
| Zohydro ER 15 Mg Cp12 (hydrocodone bitartrate) |
| Drugs for Pain and Fever : Arthritis and Pain Drugs |
- Step Therapy Applies
- Pain Narcotic: Opioid:
Age Requirement: >= 18
Duration: 12 Month(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 12 month(s)
Diagnosis Type(s): Chronic Pain
Used for Cancer Patients: No
Around-The-Clock Analgesic Required: No
Morphine Equivalent Dose (MED) Limit: N/A
Morphine Equivalent Dose (MED) Required: No
- Prior Authorization: Pain Narcotic: Opioid:
Documented Diagnosis: Yes
Age Requirement: >= 18
Duration: 12 Month(s)
Reauthorization Required: Yes
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