Health Net
Zubsolv (buprenorphine-naloxone)
Drugs for Addiction : Drugs for Opioid Addiction
  • Step Therapy: Substance Abuse: Opioid Dependence:
    Step Applies
  • Prior Authorization: Substance Abuse: Opioid Dependence:
    PA Applies
  • Substance Abuse: Opioid Dependence:
    Duration: 12 Month(s)
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 month(s)
    Negative Test for Opioids: No
    Required Time Duration Abstaining from Opioids: N/A
    Rehabilitation Program Required: No
    Policy Specifies Induction or Initiation of Therapy: No
    Documented Diagnosis: Yes
    Induction Period Specified: No