Buprenorphine products

Authorization forms

Products for opioid use disorder: 

Medicare (01/2019)

 

Products for controlling pain:

Traditional & Optimized (07/2018)

No prior authorization required for:

  • Emergency room
  • Inpatient
  • Skilled nursing facility

For further information, please see the Injectable Drugs page

Please note that buprenorphine implant (J0570) is not covered for any line of business, however Sublocade (Q9991 and Q9992) may be covered for Commercial or Medicare plans with prior authorization. Please see Sublocade page for more information