Sunosi (solriamfetol tablets – Jazz) — Cigna
Excessive daytime sleepiness associated with obstructive sleep apnea
Preferred products
- modafinil
- armodafinil
Initial criteria
- Patient age ≥ 18 years
- Sunosi will be used in conjunction with positive airway pressure therapy OR patient is unable to initiate or tolerate positive airway pressure therapy
- Patient has tried generic modafinil or generic armodafinil
- Positive airway pressure can include continuous positive airway pressure (CPAP), auto-titrating positive airway pressure (APAP), or bilevel positive airway pressure (BPAP)
- Exception to step requirement allowed if patient has previously tried brand Provigil or brand Nuvigil
Approval duration
1 year