Lyrica (pregabalin immediate-release) — CareFirst (Caremark)

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 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 same listed indications.
• If the request is for Lyrica oral solution, the patient has difficulty swallowing oral solid dosage forms 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