Health Net
Zilretta (triamcinolone acetonide)
Hormones : Drugs for Inflammation
  • Step Therapy Applies
  • Prior Authorization: Osteoarthritis: OA of the Knee:
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Age Requirement: >= 18
    Duration: 3 Month(s)

  • Osteoarthritis: OA of the Knee:
    Age Requirement: >= 18
    Duration: 3 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Specialist Type(s): 1 of Orthopedic Specialist;Rheumatologist;Sports Medicine Specialist
    Reauthorization Required: No
    Duration of Reauthorization: N/A
    Elapsed Duration Since Previous Course of Therapy: N/A

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