Skip to content
The Policy VaultThe Policy Vault

Effexor XRMedica

social anxiety disorder

Preferred products

  • citalopram tablets (Celexa, generic)
  • generic citalopram oral solution
  • generic duloxetine delayed-release 20 mg, 30 mg, 60 mg capsules
  • escitalopram tablets (Lexapro, generic)
  • escitalopram oral solution (Lexapro, generic)
  • fluoxetine immediate-release capsules and tablets (Prozac, Sarafem, generic)
  • generic fluoxetine oral solution
  • generic fluoxetine delayed-release capsules
  • generic fluvoxamine immediate-release tablets
  • generic fluvoxamine extended-release capsules
  • paroxetine HCl immediate- and controlled-release tablets (Paxil, Paxil CR, generic)
  • paroxetine oral suspension (Paxil, generic)
  • Pexeva
  • sertraline tablets (Zoloft, generic)
  • sertraline oral solution (Zoloft, generic)
  • Trintellix
  • Viibryd
  • generic venlafaxine immediate-release tablets
  • generic venlafaxine extended-release capsules

Initial criteria

  • Patient has tried one Step 1 Product; OR
  • Patient is currently taking or has taken brand name Desvenlafaxine extended-release tablets, desvenlafaxine succinate extended-release tablets (Pristiq or generics), or Fetzima at any time in the past and discontinued its use; OR
  • Patient has suicidal ideation (approve Desvenlafaxine extended-release tablets, desvenlafaxine succinate extended-release tablets (Pristiq or generics), or Fetzima)

Approval duration

1 year