VIVLODEX (meloxicam)

SELF ADMINISTRATION - Oral

Indications for Prior Authorization:
  • Management of osteoarthritis pain
Patients must meet the following criteria for the indication(s) above:
  • Used for the management of osteoarthritis pain, AND
  • Chart note documentation is provided and confirms: patient has tried and failed two preferred generic prescription strength oral NSAIDs (nonsteroidal antiinflammatory drugs), one of the two must be generic meloxicam (Mobic®) OR there is a medically appropriate reason why generic alternatives cannot be tried
Dosing:
  • Starting dose: 5 mg once daily
  • May be increased to 10 mg in patients who require additional analgesia (maximum daily dose is 10 mg)

Last review date: July 17, 2018

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