Sunosi — Medical Mutual
Excessive Daytime Sleepiness associated with Obstructive Sleep Apnea (OSA)
Initial criteria
- Patient age ≥ 18 years
- Diagnosis of obstructive sleep apnea has been confirmed, according to the prescriber
- Sunosi is prescribed by or in consultation with a sleep disorder specialist, psychiatrist, or neurologist
- Sunosi will be used in conjunction with continuous positive airway pressure (CPAP) OR Patient is unable to initiate or tolerate CPAP therapy
- Patient has tried generic modafinil or generic armodafinil
Reauthorization criteria
- Response to therapy is required for continuation of therapy
Approval duration
1 year