Health Net
Apidra U-100 Insulin (Crtg) (insulin glulisine U-100)
Hormones : Drugs for Diabetes
  • Prior Authorization: Diabetes Type 2: Short Acting Insulin (Meal-time):
    Documented Diagnosis: Yes
    Duration: 12 Month(s)
    Reauthorization Required: Yes

  • Step Therapy: Diabetes Type 2: Short Acting Insulin (Meal-time):
    ST Single Brand

  • Diabetes Type 2: Short Acting Insulin (Meal-time):
    Duration: 12 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 month(s)
    Supporting Documentation Requirements: 1 of Chart Notes;Lab Tests

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