Sutter Health Plus
Bydureon BCise (exenatide microspheres)
Hormones : Drugs for Diabetes
  • Diabetes Type 2: GLP1 + Combo:
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: No
    Duration of Reauthorization: N/A

  • Step Therapy: ST_APPLIES
  • PA_APPLIES
  • ST_APPLIES
  • Prior Authorization: Diabetes Type 2: GLP1 + Combo:
    Documented Diagnosis: Yes

  • QL (2 per Rx);
<< Return | Back to top