Health Net
Syndros (dronabinol)
Drugs for Eating Disorders : Drugs for Eating Disorders
  • Chemo-induced Nausea and Vomiting (CINV):
    Age Requirement: >= 18
    Duration: 3 Day(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: >= 3 day(s)
    NV associated with highly emetogenic cancer chemotherapy (HEC): No
    NV associated with moderately emetogenic cancer chemotherapy (MEC): No
    Concomitant therapy with Corticosteroid: No
    Concomitant therapy with 5-HT3 Antagonist: No

    HIV Wasting:
    Age Requirement: >= 18
    Duration: 6 Month(s)
    Documented Diagnosis: No
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 month(s)

  • Prior Authorization: Chemo-induced Nausea and Vomiting (CINV):
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 3 Day(s)
    Reauthorization Required: Yes

    HIV Wasting:
    Age Requirement: >= 18
    Duration: 6 Month(s)
    Reauthorization Required: Yes

  • Step Therapy: Chemo-induced Nausea and Vomiting (CINV):
    ST Multiple Generics

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