Fluoxetine Tablets

SELF ADMINISTRATION

FDA Approved Indications:
  • Major Depressive Disorder (MDD)
  • Obsessive Compulsive Disorder (OCD)
  • Bulimia nervosa
  • Panic Disorder, with or without agoraphobia
Prior authorization criteria:
  • Medically appropriate diagnosis, AND
  • Medically appropriate reason for use of the tablets and not the capsules is provided
  • Preferred agent is fluoxetine capsules (available as 10mg, 20mg and 40mg)
Approval:
  • One year