ULORIC (febuxostat)

SELF ADMINISTRATION - ORAL

Indications for Prior Authorization:

  • Chronic management of hyperuricemia in patients with gout

Prior authorization criteria:

  • Patient has gout with symptomatic hyperuricemia, AND
  • Patient has tried and failed allopurinol, AND
  • Patient will not be concomitantly taking azathioprine or mercaptopurine

Dosing:

  • Initial: 40 mg once daily; for patients who do not achieve a serum uric acid less than 6 mg/dL after 2 weeks with 40 mg, Uloric 80 mg is recommended

Approval:

  • One year
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