Health Net |
Aptensio XR (methylphenidate HCl) |
Drugs for the Nervous System : Drugs for Attention Deficit Disorder |
- ADHD:
Age Requirement: >= 6
Duration: 1 plan year
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 1 plan year
- Quantity Limit: limit maximum 1 EA PER 1 day(s)
- Prior Authorization: ADHD:
Documented Diagnosis: Yes
Age Requirement: >= 6
Duration: 1 plan year
Reauthorization Required: Yes
- Step Therapy: ADHD:
ST Multiple Generics
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