Health Net
Emflaza (deflazacort)
Hormones : Drugs for Inflammation
  • Crohn's Disease (CD):
    Duration: 12 Month(s)
    Documented Diagnosis: Yes
    Medical Test Required: No
    Reauthorization Required: Yes
    Duration of Reauthorization: = 24 month(s)
    TB Test required: No

  • Minimum Age: 6 Years; Maximum Age: N.A.;
  • Prior Authorization: Antiviral: Hepatitis C (HCV):
    Documented Diagnosis: Yes
    Medical Test Required: Yes
    Age Requirement: >= 3
    Duration: 24 week(s)

  • Quantity Limit: limit maximum 30 day(s) supply