Health Net
Precision PCx (blood sugar diagnostic)
Medical Supplies and Durable Medical Equipment : Medical Supplies and Durable Medical Equipment
  • Step Therapy Applies
  • Diabetic Medical Supplies:
    Duration: 1 plan year
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 1 plan year

  • Prior Authorization: Diabetic Medical Supplies:
    Documented Diagnosis: Yes
    Duration: 1 plan year
    Reauthorization Required: Yes