| Health Net |
| Prestalia (perindopril arginin-amlodipine) |
| Drugs for the Heart : Drugs for High Blood Pressure |
- Prior Authorization: Hypertension (High Blood Pressure):
Documented Diagnosis: Yes
Duration: 12 Month(s)
Reauthorization Required: Yes
- Hypertension (High Blood Pressure):
Duration: 12 Month(s)
Documented Diagnosis: Yes
Medical Test Required: No
Reauthorization Required: Yes
Duration of Reauthorization: = 1 plan year
- Step Therapy: Hypertension (High Blood Pressure):
ST Multiple Generics
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