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Sunosi (solriamfetol)United Healthcare

Narcolepsy

Initial criteria

  • Diagnosis of narcolepsy as confirmed by sleep study (unless the prescriber provides justification confirming that a sleep study would not be feasible)
  • AND Symptoms of excessive daytime sleepiness (including but not limited to daily periods of irrepressible need to sleep or daytime lapses into sleep) are present

Reauthorization criteria

  • Reduction in symptoms of excessive daytime sleepiness associated with Sunosi therapy

Approval duration

12 months