Anthem Blue Cross (HMO, PPO, EPO) |
Invokana (canagliflozin) |
Hormones : Drugs for Diabetes |
- Prior Authorization: Chronic Kidney Disease:
Documented Diagnosis: Yes
Medical Test Required: Yes
Duration: 1 year(s)
For FAX form click HERE Our electronic prior authorization (ePA) process is the preferred method for submitting pharmacy prior authorization requests. Creating an account is free, easy and helps patients get their medications sooner. You can complete the process through your current electronic health record/electronic medical record (EHR/EMR) system or by using one of these ePA sites: Log in to Surescripts Log in to CoverMyMeds; For details on drug coverage click HERE;
- Chronic Kidney Disease:
Duration: 1 year(s)
Documented Diagnosis: Yes
Medical Test Required: Yes
Reauthorization Required: No
Duration of Reauthorization: N/A
- Step Therapy: Chronic Heart Failure (CHF):
ST Generic and Brand
Chronic Kidney Disease: ST Single Brand
Diabetes Type 2: SGLT2 + Combo: ST Multiple Brands
- ST Applies
- Quantity Limit: 1 tablet per 1 day(s).
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