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Informational only — Formulary data may be inaccurate or outdated. Always verify with official plan documents, your pharmacy, or your clinician before acting.

25 results for "Neuropathic Pain"

Drug Name Generic Name Strength Form Plans Covering Actions
Akten
Brand for lidocaine
Ophthalmic Agents, Other
Also: AKTEN GEL 3.5%
lidocaine 3.5% Gel 6 plans Details
Cymbalta
Brand for duloxetine
Neuropathic Pain
duloxetine Capsule 6 plans Details
DermacinRx Lidocan
Brand for lidocaine
Neuropathic Pain
lidocaine Patch 1 plan Details
Drizalma Sprinkle
Brand for duloxetine HCl
Neuropathic Pain
duloxetine HCl 1 plan Details
Gabarone
Brand for gabapentin
Second Generation — Patients with a diagnosis of seizure disorder are exempt from T/F criteria and may use any second generation product.
Also: GABARONE TABS 100MG, 400MG
gabapentin 100MG, 400MG Tablet 4 plans Details
Glydo
Brand for lidocaine
Local Anesthetics
Also: lidocaine hydrochloride
lidocaine 0.02 MG Gel 30 plans Details
Gralise
Brand for gabapentin
Neuropathic Pain
Also: GRALISE TABS 300MG, 600MG, GRALISE TABS 450MG, 750MG, 900MG
gabapentin 450MG, 750MG, 900MG Tablet 4 plans Details
Horizant
Brand for gabapentin enacarbil
Neuropathic Pain
gabapentin enacarbil Tablet 1 plan Details
Lidocan
Brand for lidocaine
Neuropathic Pain
Also: lidocaine
lidocaine 0.05 MG Patch 90 plans Details
Lidoderm
Brand for lidocaine
Neuropathic Pain
lidocaine Patch 6 plans Details
Lyrica
Brand for pregabalin
ANTICONVULSANTS - MISC.
Also: LYRICA CAPS 25MG, 50MG, 75MG, 100MG, 150MG, 200MG, 225MG, 300MG; SOLN 20MG/ML, LYRICA CAPS 25MG, 50MG, 75MG, 100MG, 150MG, 200MG, 225MG, 300MG, LYRICA CAPS 225MG; SOLN 20MG/ML, LYRICA CAPS 25MG, 50MG, 75MG, 100MG,
pregabalin 25MG, 50MG, 75MG, 100MG, 150MG, 200MG, 225MG, 300MG Capsule 9 plans Details
Lyrica Capsule / Solution / CR
Neuropathic Pain
Tablet 1 plan Details
Neurontin
Brand for gabapentin
ANTICONVULSANTS
Also: NEURONTIN CAPS 100MG, 300MG, 400MG; SOLN 250MG/5ML; TABS 600MG, 800MG, NEURONTIN CAPS 100MG, 300MG, 400MG;
gabapentin 100MG, 300MG, 400MG Capsule 10 plans Details
Neurontin Capsule / Solution
Neuropathic Pain
Also: NEURONTIN CAPS 100MG, 300MG, 400MG; SOLN 250MG/5ML; TABS 600MG, 800MG, NEURONTIN CAPS 100MG, 300MG, 400MG; TABS 600MG, 800MG
100MG, 300MG, 400MG Tablet 1 plan Details
Qutenza
Brand for capsaicin
Neuropathic Pain
Also: QUTENZA KIT 8% 1-PCH, QUTENZA KIT 8% 2-PCH, QUTENZA KIT 8% 4-PCH
capsaicin 8% Kit 6 plans Details
Savella Tablet / Titration
Neuropathic Pain
Pack 1 plan Details
Tridacaine
Brand for lidocaine
Neuropathic Pain
Also: lidocaine
lidocaine 0.05 MG Patch 90 plans Details
ZTLido
Brand for lidocaine
Neuropathic Pain
Also: lidocaine
lidocaine 0.018 MG Patch 18 plans Details
duloxetine
Neuropathic Pain
Also: Cymbalta, Irenka, Duloxetine Dr 20 Mg Capsule, Duloxetine Dr 30 Mg Capsule, Duloxetine Dr 60 Mg Capsule
20 MG Delayed Release Capsule 171 plans Details
duloxetine HCl
ANTIDEPRESSANTS AND NON-OPIOID PAIN SYNDROME AGENTS
Also: DRIZALMA SPRINKLE
20 mg, 30 mg, 40 mg, 60 mg Delayed Release Capsule 1 plan Details
gabapentin
ANTICONVULSANTS
Also: gabapentin oral capsule, gabapentin oral solution 250, Gralise, gabapentin caps 100mg, 300mg, 400mg; soln 250mg/5ml, 300mg/6ml; tabs 600mg, 800mg, gabapentin cap 100 mg, 300 mg, 400 mg, gabapentin oral soln 250 mg/5ml, gabapentin tab 600 mg, 800 mg, Gabapentin 100 Mg Capsule, Gabapentin 300 Mg Capsule, Gabapentin 400 Mg Capsule, Gabapentin 250 Mg/5 Ml Oral Solution, Gabapentin 300 Mg/6 Ml Oral Solution, Gabapentin 600 Mg Tablet, Gabapentin 800 Mg Tablet, GABAPENTIN ER, GRALISE, NEURONTIN, gabapentin caps 100mg, 300mg, 400mg; soln
100 mg, 300 mg, 400 mg, 450 mg, 600 mg, 750 mg, 800 mg, 900 mg Solution 179 plans Details
gabapentin capsule / solution
Neuropathic Pain
Also: Neurontin
Tablet 1 plan Details
gabapentin enacarbil
ANTIDEPRESSANTS AND NON-OPIOID PAIN SYNDROME AGENTS
Also: HORIZANT
300 mg, 600 mg Extended Release Tablet 1 plan Details
lidocaine
Brand for Lidocan
DERMATOLOGICALS
Also: Lidoderm, LIDOCAINE CRE TETRACAI, lidocaine inj 0.5% w/ epinephrine-1:200000, lidocaine inj 1% w/ epinephrine-1:100000, lidocaine inj 1.5% w/ epinephrine-1:200000 (pf), lidocaine inj 2% w/ epinephrine-1:100000, lidocaine inj 2% w/ epinephrine-1:200000 (pf), lidocaine patch 5%, LIDOCAN V, TRIDACAINE XL, LIDOCAN IV, ZTLIDO, DERMACINRX LIDOCAN, LIDOCAN III
Lidocan 1.8 %, 5 % Cream 174 plans Details
pregabalin capsule
Neuropathic Pain
Also: Lyrica
Solution 1 plan Details
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