Wakix Prescription Referral Form

Wakix Prescription Referral Form - For professionals Drug Images What is Wakix Wakix is a brand name prescription medication It s FDA approved for use in adults who have narcolepsy Narcolepsy is a condition that affects

Forms News Important news updates for you Resource library Tools references and guides for supporting your practice The UnitedHealthcare Provider Portal resources Wakix pitolisant Prior Authorization Medical Necessity UnitedHealthcare Commercial Plans Last Published 12 21 2023

Wakix Prescription Referral Form

Wakix Prescription Referral Form

 · Wakix. Generic name: pitolisant [ pi-TOL-i-sant ] Dosage form: tablet (4.45 mg, 17.8 mg) Drug class: CNS stimulants. Medically reviewed by Melisa Puckey, BPharm. Last updated on May 9, 2023. Uses; Warnings; Before taking; Dosage; Side effects; Interactions; FAQ; What is Wakix?

For patients stable on WAKIX 8 9 mg or 17 8 mg once daily increase the dose of WAKIX to double the original daily dose i e 17 8 mg or 35 6 mg respectively over 7 days If concomitant

Clinical Pharmacy Prior Authorization Notification And Medical

Wakix pitolisant is a prescription drug that s used to treat certain symptoms of narcolepsy Wakix comes as tablets that you swallow Wakix is used in adults to treat the following

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Wakix Side Effects Cost Uses Alternatives And More

This form is made available for use by prescribers to initiate a prior authorization request with the health insurer Prior authorization requests are defined as requests for pre approval from an insurer for specified medications or quantities

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Pitolisant Wakix Continued use criteria for patients stable on the medication Non formulary pitolisant Wakix will continue to be covered on the prescription drug benefit for 24 months when the following criteria are met Continues to be prescribed by a Sleep Specialist kp Revised 10 14 21 Effective 12 02 21

 · Wakix (pitolisant) is a brand-name drug that’s prescribed for excessive daytime sleepiness or cataplexy in adults who have narcolepsy. Wakix comes as an oral tablet that’s typically taken once

Wakix Uses Dosage Side Effects Amp Warnings Drugs

Wakix can only be obtained with a prescription and treatment should be started by a doctor experienced in the treatment of sleep disorders Wakix is available as tablets to be taken by the mouth once a day in the morning during breakfast For more information about using Wakix see the package leaflet or contact your doctor or pharmacist

Wakix Prescription Referral Form

Pitolisant Wakix Continued use criteria for patients stable on the medication Non formulary pitolisant Wakix will continue to be covered on the prescription drug benefit for 24 months when the following criteria are met Continues to be prescribed by a Sleep Specialist kp Revised 10 14 21 Effective 12 02 21

Forms News Important news updates for you Resource library Tools references and guides for supporting your practice The UnitedHealthcare Provider Portal resources Wakix pitolisant Prior Authorization Medical Necessity UnitedHealthcare Commercial Plans Last Published 12 21 2023

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