Lunesta — Cigna
insomnia
Preferred products
- generic eszopiclone tablets
- generic ramelteon tablets
- generic zaleplon capsules
- generic zolpidem immediate-release tablets
- generic zolpidem extended-release tablets
- generic zolpidem sublingual tablets
Initial criteria
- If the patient has tried one Step 1 Product, approve a Step 2 Product.
- If the patient has a documented history of substance use disorder, approve Silenor or generic doxepin 3 mg or 6 mg tablets.
- If the patient is age ≥ 65 years, approve Silenor or generic doxepin 3 mg or 6 mg tablets.
- If the patient has difficulty swallowing or cannot swallow tablets/capsules, approve Edluar or Zolpimist.
Approval duration
1 year