Health Net
Suboxone (buprenorphine-naloxone)
Drugs for Addiction : Drugs for Opioid Addiction
  • Quantity Limit: limit maximum 3 EA PER 1 day(s)
  • Prior Authorization: Substance Abuse: Opioid Dependence:
    PA Applies
  • Substance Abuse: Opioid Dependence:
    Duration: 1 plan year
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: Unspecified
    Negative Test for Opioids: No
    Required Time Duration Abstaining from Opioids: N/A
    Rehabilitation Program Required: No
    Policy Specifies Induction or Initiation of Therapy: No
    Documented Diagnosis: Yes
    Induction Period Specified: No