Sutter Health Plus
Pexeva (paroxetine mesylate)
Drugs for the Nervous System : Drugs for Depression
  • ST Required
  • Prior Authorization: PA_APPLIES
  • May be covered under Medical Benefit.
  • Ankylosing Spondylitis (AS), Rheumatoid Arthritis (RA):
    Duration: 12 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): Rheumatologist
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 month(s)
    TB Test required: No

    Psoriatic Arthritis (PsA):
    Duration: 12 Month(s)
    Specialist Required: Yes
    Documented Diagnosis: Yes
    Medical Test Required: No
    Specialist Type(s): 1 of Dermatologist;Rheumatologist
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 month(s)
    TB Test required: No

  • PA Applies