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Forfivo XLMedica

depression

Preferred products

  • generic bupropion extended-release tablets
  • generic bupropion sustained-release tablets

Initial criteria

  • Patient has tried one Step 1 Product (generic bupropion extended-release tablets or generic bupropion sustained-release tablets).
  • Note: If the patient has tried bupropion immediate-release tablets, they must still try a generic sustained- or extended-release tablet before receiving authorization for a Step 2 Product.

Approval duration

3 years