Auvelity (dextromethorphan/bupropion hydrochloride) — CareFirst (Caremark)
Major depressive disorder (MDD)
Preferred products
- Serotonin and norepinephrine reuptake inhibitor (SNRI)
- Selective serotonin reuptake inhibitor (SSRI)
- Mirtazapine
- Bupropion (except generic for Zyban)
Initial criteria
- Patient is an adult (age ≥ 18 years)
- Requested drug is being prescribed for the treatment of major depressive disorder (MDD)
Approval duration
12 months