buprenorphine/naloxone — Blue Cross Blue Shield of Alabama
chronic pain management during buprenorphine or buprenorphine/naloxone therapy
Initial criteria
- There is support for the use of the opioid for chronic pain management
- The prescriber has indicated that the patient will no longer be using buprenorphine, Bunavail, buprenorphine/naloxone, Suboxone, or Zubsolv therapy
Approval duration
termination of buprenorphine authorization at request review