Divigel — Cigna
Treatment of hypoestrogenism due to hypogonadism, castration, or primary ovarian failure
Preferred products
- estradiol patches (generic)
Initial criteria
- If the patient has tried one Step 1 Product (estradiol patches [generic]), approve a Step 2 Product.
- If the patient has tried brand Climara patches, brand Minivelle patches, or brand Vivelle-Dot patches, approve a Step 2 Product.
Approval duration
1 year