Anthem Blue Cross (HMO, PPO, EPO) |
Syndros (dronabinol) |
Drugs for Eating Disorders : Drugs for Eating Disorders |
- Chemo-induced Nausea and Vomiting (CINV):
Duration: 1 year(s)
Documented Diagnosis: No
Medical Test Required: No
Reauthorization Required: No
Duration of Reauthorization: N/A
NV associated with highly emetogenic cancer chemotherapy (HEC): No
NV associated with moderately emetogenic cancer chemotherapy (MEC): No
Concomitant therapy with Corticosteroid: No
Concomitant therapy with 5-HT3 Antagonist: No
- Quantity Limit: limit maximum 8 mL PER 1 day(s)
- Step Therapy: Chemo-induced Nausea and Vomiting (CINV):
ST Multiple Brands
- Prior Authorization: Chemo-induced Nausea and Vomiting (CINV):
Duration: 1 year(s)
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