Ranexa — Medica
chronic angina
Preferred products
- generic ranolazine extended-release tablets
Initial criteria
- Patient has tried generic ranolazine extended-release tablets (Step 1 Product) within the 130-day look-back period; OR
- For Aspruzyo Sprinkle only, patient requires administration by nasogastric or gastrostomy/gastric tube; OR
- For Aspruzyo Sprinkle only, patient is unable to swallow or has difficulty swallowing tablets or capsules
Approval duration
1 year