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Pennsaid (diclofenac sodium topical solution 2%)Highmark

osteoarthritis knee pain

Preferred products

  • generic diclofenac sodium 1.5% topical solution
  • diclofenac sodium 1% gel
  • oral generic NSAIDs (one must be oral diclofenac)

Initial criteria

  • age ≥ 18 years
  • diagnosis of osteoarthritis knee pain (ICD-10: M17.9)
  • therapeutic failure, contraindication, or intolerance to three plan-preferred formulary, oral generic NSAIDs, one of which must be oral diclofenac
  • therapeutic failure to one of the following plan-preferred products: generic diclofenac sodium 1.5% topical solution OR prescription generic diclofenac sodium 1% gel

Reauthorization criteria

  • member continues to use the medication for an FDA approved indication
  • prescriber attests that the member has experienced positive clinical response to therapy

Approval duration

12 months