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)