Health Net
Dario Blood Glucose Monitor (blood-glucose meter,mobile dev)
Medical Supplies and Durable Medical Equipment : Medical Supplies and Durable Medical Equipment
  • Step Therapy: Diabetic Medical Supplies:
    ST Multiple Brands

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

  • Diabetic Medical Supplies:
    Duration: 1 plan year
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 1 plan year