Librax (chlordiazepoxide/clidinium) — Blue Cross Blue Shield of Illinois
peptic ulcer disease
Preferred products
- dicyclomine
- Viberzi
- generic prescription or OTC proton pump inhibitor
Initial criteria
- IBS: Use of a preferred product: dicyclomine or Viberzi
- Peptic Ulcer Disease: Use of a preferred product: generic prescription or OTC proton pump inhibitor