- Osteoporosis: Post Menopausal Women:
Age Requirement: >= 18
Duration: 6 Month(s)
Medical Test Required: Yes
Reauthorization Required: Yes
Duration of Reauthorization: = 6 month(s)
BMD T-score at neck, total hip, or lumbar spine: >= 4
Self-Administration Allowed: No
Multiple fractures required: No
Documented Diagnosis: Yes
- Step Therapy: Osteoporosis: Post Menopausal Women:
ST Generic and Brand
- Prior Authorization: Osteoporosis: Post Menopausal Women:
Documented Diagnosis: Yes
Medical Test Required: Yes
Age Requirement: >= 18
Duration: 6 Month(s)
Reauthorization Required: Yes
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