ZORVOLEX (diclofenac)

SELF ADMINISTRATION - Oral

Indications for Prior Authorization:
  • Management of mild to moderate acute pain
  • Management of osteoarthritis pain
Patients must meet the following criteria for the indication(s) above:
  • Used for the management of mild to moderate acute pain OR osteoarthritis pain, AND
  • Chart note documentation is provided and confirms: patient has tried and failed generic Diclofenac tablets OR there is a medically appropriate reason why generic Diclofenac tablets cannot be tried
Dosing:
  • Management of mild to moderate acute pain: 18 mg OR 35 mg orally three times daily
  • Management of osteoarthritis pain: 35 mg orally three times daily

Last review date: January 15, 2019

Rite Aid Pharmacy Patients: All Rite Aid pharmacies nationwide are closing! Please be on the lookout for information from Rite Aid pharmacies about their bankruptcy and store closures. Call your Rite Aid pharmacy for questions about your prescriptions and new pharmacy options. WHA is here to help as well. Contact Us via Phone