Anthem Blue Cross (HMO, PPO, EPO)
Bunavail (buprenorphine-naloxone)
Drugs for Addiction : Drugs for Opioid Addiction
  • Substance Abuse: Opioid Dependence:
    Age Requirement: >= 16
    Duration: 3 Month(s)
    Medical Test Required: No
    Reauthorization Required: No
    Negative Test for Opioids: No
    Rehabilitation Program Required: Yes
    Policy Specifies Induction or Initiation of Therapy: No
    Documented Diagnosis: No
    Induction Period Specified: No

  • Quantity Limit: 6 films per 1 day(s).
  • Prior Authorization: Substance Abuse: Opioid Dependence:
    PA Applies
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