Health Net
Dexilant (dexlansoprazole)
Drugs for the Stomach : Drugs for Ulcers and Stomach Acid
  • Step Therapy Applies
  • Prior Authorization: Documented Diagnosis: Yes
    Duration: 1 plan year
    Reauthorization Required: Yes

  • Duration: 1 plan year
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 1 plan year