Health Net
Xhance (fluticasone propionate)
Drugs for the Nose : Allergy
  • Prior Authorization: Nasal Polyposis:
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 6 Month(s)
    Reauthorization Required: Yes

  • Nasal Polyposis:
    Age Requirement: >= 18
    Duration: 6 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 1 plan year

  • Step Therapy: Nasal Polyposis:
    ST Multiple Generics

<< Return | Back to top