Health Net
Tabloid (thioguanine)
Drugs for Cancer : Drugs for Cancer
  • I. Health Net Approved Indications and Usage Guidelines: 1. Diagnosis of schizophrenia, schizoaffective disorder, bipolar depression, bipolar manic or mixed episodes, or major depressive disorder; AND 2. Failure or clinically significant adverse effects to generic quetiapine AND one of the following atypical antipsychotics: aripiprazole, ziprasidone, olanzapine, risperidone. Requests for continuation of therapy will be approved. II. Coverage is Not Authorized For: Non-FDA approved indications, which are not listed in the Health Net Approved Indications and Usage Guidelines section, unless there is sufficient documentation of efficacy and safety in the published literature. III. Authorization Limit: Length of Benefit.