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HorizantCareFirst (Caremark)

Adjunctive therapy for the treatment of partial-onset (focal-onset) seizures in patient 1 month to up to 3 years of age

Preferred products

  • gabapentin immediate-release

Initial criteria

  • The request is for Lyrica (pregabalin immediate-release).
  • The requested drug is being prescribed for one of the listed indications.
  • If the request is for Lyrica oral solution, the patient has difficulty swallowing oral solid dosage forms (e.g., capsules) OR requires a dose that cannot be obtained using the commercially available capsules.

Reauthorization criteria

  • The request is for Lyrica (pregabalin immediate-release).
  • The requested drug is being prescribed for one of the listed indications.
  • If the request is for Lyrica oral solution, the patient has difficulty swallowing oral solid dosage forms (e.g., capsules) OR requires a dose that cannot be obtained using the commercially available capsules.
  • The patient has achieved or maintained a positive clinical response to the requested drug.

Approval duration

12 months