Health Net
Embeda (morphine-naltrexone)
Drugs for Pain and Fever : Arthritis and Pain Drugs
  • Pain Narcotic: Opioid:
    Age Requirement: >= 18
    Duration: 3 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 3 month(s)
    Diagnosis Type(s): 2 of Chronic Pain;Severe Pain
    Used for Cancer Patients: No
    Around-The-Clock Analgesic Required: No
    Morphine Equivalent Dose (MED) Limit: N/A
    Morphine Equivalent Dose (MED) Required: No

  • Step Therapy: Pain Narcotic: Opioid:
    ST Single Generic

  • Prior Authorization: Pain Narcotic: Opioid:
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Duration: 3 Month(s)
    Reauthorization Required: Yes

<< Return | Back to top