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Informational only — Formulary data may be inaccurate or outdated.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.

26 results for "Neuropathic Pain"

Page 1 of 2
Drug Name Generic Name Strength Form Plans Covering Actions
pregabalin capsule
Neuropathic Pain
Also: Lyrica
Solution 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
gabapentin enacarbil
ANTIDEPRESSANTS AND NON-OPIOID PAIN SYNDROME AGENTS
Also: HORIZANT
300 mg, 600 mg Extended Release Tablet 1 plan Details
gabapentin capsule / solution
Neuropathic Pain
Also: Neurontin
Tablet 1 plan Details
gabapentin
Brand for Relgaabi
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, RELGAABI
Relgaabi 100 mg, 300 mg, 400 mg, 450 mg, 600 mg, 750 mg, 800 mg, 900 mg Solution 179 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
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
ZTLido
Brand for lidocaine
Neuropathic Pain
Also: lidocaine
lidocaine 0.018 MG Patch 18 plans Details
Tridacaine
Brand for lidocaine
Neuropathic Pain
Also: lidocaine
lidocaine 0.05 MG Patch 90 plans Details
Savella Tablet / Titration
Neuropathic Pain
Pack 1 plan Details
Relgaabi
Brand for gabapentin
Also: gabapentin
gabapentin 300 MG Capsule 29 plans 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
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
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
Lyrica Capsule / Solution / CR
Neuropathic Pain
Tablet 1 plan 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
Lidoderm
Brand for lidocaine
Neuropathic Pain
lidocaine Patch 6 plans Details
Lidocan
Brand for lidocaine
Neuropathic Pain
Also: lidocaine
lidocaine 0.05 MG Patch 90 plans Details
Horizant
Brand for gabapentin enacarbil
Neuropathic Pain
gabapentin enacarbil Tablet 1 plan 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
Glydo
Brand for lidocaine
Local Anesthetics
Also: lidocaine hydrochloride
lidocaine 0.02 MG Gel 30 plans 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
Drizalma Sprinkle
Brand for duloxetine HCl
Neuropathic Pain
duloxetine HCl 1 plan Details
DermacinRx Lidocan
Brand for lidocaine
Neuropathic Pain
lidocaine Patch 1 plan Details
Cymbalta
Brand for duloxetine
Neuropathic Pain
duloxetine Capsule 6 plans Details
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