Provigil — Cigna
Excessive Sleepiness Associated with Shift Work Sleep Disorder
Preferred products
- generic modafinil
- generic armodafinil
Initial criteria
- Patient is age ≥ 18 years
- Patient works at least five overnight shifts per month
- If brand Provigil or Nuvigil is being requested, patient has tried generic modafinil or generic armodafinil AND brand product (Nuvigil or Provigil) is being requested due to formulation difference in inactive ingredient(s) which would result in a significant allergy or serious adverse reaction
Approval duration
1 year