Health Net
Forteo 20 Mcg/Dose (750 Mcg/3 Ml) Pnij (teriparatide)
Hormones : Drugs for Menopause and Bone Loss
  • 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