generic doxercalciferol capsules — Cigna
hypocalcemia in patients with certain hypoparathyroidism diagnoses
Preferred products
- generic calcitriol capsules
- generic calcitriol oral solution
Initial criteria
- If the patient has tried one Step 1 Product, approve a Step 2 Product.
- If the patient has tried intravenous (IV) calcitriol injection, approve a Step 2 Product.
Approval duration
1 year