Health Net
Enstilar (calcipotriene-betamethasone)
Drugs for the Skin : Drugs for the Skin
  • Topical Psoriasis:
    Age Requirement: >= 12
    Duration: 1 Month(s)
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: <= 1 month(s)
    Documented Diagnosis: Yes

  • Prior Authorization: Topical Psoriasis:
    PA Applies
  • Step Therapy: Topical Psoriasis:
    Step Applies