Health Net
Durolane (hyaluronate sodium, stabilized)
Drugs for Muscles, Ligaments, Tendons, and Bones : Drugs for Muscles, Ligaments, Tendons, and Bones
  • Step Therapy: Osteoarthritis: OA of the Knee:
    ST Multiple Brands

  • Prior Authorization: Osteoarthritis: OA of the Knee:
    Documented Diagnosis: Yes
    Duration: 6 Month(s)
    Reauthorization Required: Yes

  • Osteoarthritis: OA of the Knee:
    Duration: 6 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): 1 of Orthopedic Specialist;Rheumatologist
    Reauthorization Required: Yes
    Duration of Reauthorization: = 6 month(s)
    Elapsed Duration Since Previous Course of Therapy: 6 month(s)