Health Net
Tymlos (abaloparatide)
Hormones : Drugs for Menopause and Bone Loss
  • Prior Authorization: Osteoporosis: Post Menopausal Women:
    Documented Diagnosis: Yes
    Age Requirement: >= 18
    Gender Requirement: Female
    Duration: 6 Month(s)
    Reauthorization Required: Yes

  • Osteoporosis: Post Menopausal Women:
    Age Requirement: >= 18
    Duration: 6 Month(s)
    Gender Requirement: Female
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 12 month(s)
    BMD T-score at neck, total hip, or lumbar spine: <= 4
    Self-Administration Allowed: No
    Multiple fractures required: No
    Documented Diagnosis: Yes

  • Step Therapy: Osteoporosis: Post Menopausal Women:
    ST Single Generic