Wakix (pitolisant tablets – Harmony) — Cigna
Excessive daytime sleepiness associated with narcolepsy
Preferred products
- modafinil
 - armodafinil
 - central nervous system stimulant
 
Initial criteria
- Patient age ≥ 6 years
 - Patient has been evaluated using polysomnography and a multiple sleep latency test
 - According to the prescriber, diagnosis of narcolepsy has been confirmed
 - Medication is prescribed by or in consultation with a sleep specialist physician or a neurologist
 - Patient has tried at least ONE of the following treatments: a central nervous system stimulant, generic modafinil, or generic armodafinil OR according to the prescriber, patient has a history of substance use disorder and a wakefulness-promoting agent that is not a controlled substance is necessary
 
Approval duration
1 year