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SalivaMaxHighmark

dry mouth due to medication, disease, or other causes

Preferred products

  • XyliMelt
  • Natrol Dry Mouth Relief
  • Biotene Mouthwash
  • Crest Pro-Health Rinse
  • Eco-Dent Daily Rinse
  • Oasis Moisturizing Mouthwash
  • Caphosol
  • aluminum hydroxide solution
  • Amphojel
  • Zilactin
  • Anbesol
  • viscous lidocaine containing product

Initial criteria

  • Member has experienced therapeutic failure, contraindication, or intolerance to all of the following plan-preferred products depending on indication
  • For dry mouth due to medication, disease, or other causes, member has experienced therapeutic failure, contraindication, or intolerance to all of the following (i. through iv.):
  • i. A saliva stimulating agent (for example, XyliMelt, Natrol Dry Mouth Relief)
  • ii. An alcohol-free mouth rinse (for example, Biotene Mouthwash, Crest Pro-Health Rinse, Eco-Dent Daily Rinse, Oasis Moisturizing Mouthwash)
  • iii. Caphosol
  • For adjunct treatment of mucositis caused by radiotherapy or chemotherapy, member has experienced therapeutic failure, contraindication, or intolerance to all of the following (i. through iv.):
  • i. An over the counter antacid agent (for example, aluminum hydroxide solution, Amphojel)
  • ii. An over the counter film forming agent or benzocaine product (for example, Zilactin, Anbesol)
  • iii. A viscous lidocaine containing product
  • iv. Caphosol

Reauthorization criteria

  • Exception to some or all criteria may be granted based on state and/or federal regulations

Approval duration

12 months