Provigil — Cigna
Excessive Daytime Sleepiness Associated with Narcolepsy
Preferred products
- generic modafinil
- generic armodafinil
Initial criteria
- Patient age ≥ 18 years
- Patient has been evaluated using polysomnography and a multiple sleep latency test
- Diagnosis of narcolepsy has been confirmed according to the prescriber
- Medication is prescribed by or in consultation with a sleep specialist physician or a neurologist
- If brand Provigil or Nuvigil is being requested, patient has tried generic modafinil or generic armodafinil
Approval duration
1 year