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Methadone tablets (e.g., Diskets®, Dolophine®, Methadose™, generic)Cigna

Opioid addiction (dependence)

Initial criteria

  • Approve for 1 year if ONE of the following (A or B) is met:
  • A) Methadone is dispensed by an opioid treatment program certified by the Substance Abuse and Mental Health Services Administration and approved by the designated state authority; OR
  • B) Methadone is being prescribed during an emergency period of ≤ 3 days while definitive care for the addiction is being sought in an appropriately licensed facility.

Approval duration

1 year