Drugs for the Nervous System
Drugs for Severe Mental Disorders

BRAND NAME: SEROquel XR - generic.gif (400 bytes) Generic Available
Note: Brand name drugs are listed for reference only. The approval status and restrictions indicated below apply only to the brand's generic equivalent. Certain brand drugs may not be covered by your health plan. Please contact your health plan for additional information.

GENERIC NAME: 
quetiapine
  Status Notes or Restrictions
Anthem Blue Cross (HMO, PPO, EPO) nonform.gif (625 bytes) NOTES_restrict.gif (377 bytes)
Cigna + Oscar notlisted.gif (324 bytes)  
Health Net approved.gif (510 bytes) NOTES_restrict.gif (377 bytes)
Kaiser Foundation Health Plan Northern California approved.gif (510 bytes)  
Kaiser Foundation Health Plan Southern California approved.gif (510 bytes)  
Oscar priorauth.gif (816 bytes) NOTES.gif (377 bytes)
Sharp Health Plan priorauth.gif (816 bytes) NOTES_restrict.gif (377 bytes)
Sutter Health Plus approved.gif (510 bytes) NOTES.gif (377 bytes)
UnitedHealthcare notreimb.gif (645 bytes)  
Western Health Advantage approved.gif (510 bytes)  


preferred.gif (540 bytes)  Preferred

approved.gif (510 bytes)   Approved

priorauth.gif (816 bytes)  Prior Auth.

nonform.gif (625 bytes)    Non-Formulary notreimb.gif (645 bytes)   Not Reimbursed notlisted.gif (324 bytes)   Not Listed
nonform.gif (625 bytes)    Benefits/Policies generic.gif (400 bytes) Generic Available, Brand Listed for reference only. Brand may not be covered.

NOTES.gif (377 bytes)NOTES_restrict.gif (372 bytes)

Notes or
Restrictions

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