- Step Therapy: Osteoporosis: Post Menopausal Women:
ST Single Brand
- Prior Authorization: Osteoporosis: Post Menopausal Women:
Documented Diagnosis: Yes
Age Requirement: >= 18
Duration: 6 Month(s)
Reauthorization Required: Yes
- Osteoporosis: Post Menopausal Women:
Age Requirement: >= 18
Duration: 6 Month(s)
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 12 month(s)
History of Fracture Required: Variable
BMD T-score at neck, total hip, or lumbar spine: <= -3
Self-Administration Allowed: No
Multiple fractures required: No
Documented Diagnosis: Yes
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