Details: SUBOXONE 12 MG-3 MG FILM SUBLINGUAL
|Drug Name:||SUBOXONE 12 MG-3 MG FILM SUBLINGUAL|
|Category:||ANTI-ADDICTION/SUBSTANCE ABUSE TREATMENT AGENTS|
|Sub Category:||ANTI-ADDICTION/SUBSTANCE ABUSE TREATMENT AGENTS|
|Tier:||4 (Non-Preferred Brand Name Drug)|
|Quantity Limits:||Quantity limitations (60 per 30 days) are in place for this medication.|
|Step Therapy Status:||N/A|
|Prior Authorization on Status:||You (or your physician) are required to get prior authorization from SummaCare before you fill a prescription for this drug. Without prior approval, SummaCare may not cover this drug. To view criteria, click here.|
|Mail Order:||This drug is available via your mail order benefit.|
|Part B vs. D:|
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All above information is effective as of December 30, 2016.
View and/or print the 2017 Medicare Comprehensive Formulary.
Last Updated: 03/01/2017