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ProvigilCareFirst (Caremark)

Excessive sleepiness associated with shift work disorder (SWD)

Initial criteria

  • The requested drug is being prescribed by, or in consultation with, a sleep specialist.
  • A sleep log and actigraphy monitoring have been completed for at least 14 days AND show a disrupted sleep and wake pattern.
  • Symptoms have been present for 3 or more months.

Reauthorization criteria

  • The patient has achieved or maintained a positive response to treatment from baseline.
  • The patient is still a shift-worker.

Approval duration

12 months