Anthem Blue Cross - 2014 to Present (HMO, PPO, EPO)
Xgeva (denosumab)
Hormones : Drugs for Menopause and Bone Loss
  • Prior Authorization: PA Applies
  • Step Therapy: Thyroid Carcinoma:
    ST Single Brand

  • Pain Narcotic: Opioid:
    Duration: 1 year(s)
    Documented Diagnosis: No
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A
    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: PA_APPLIES