Plecanatide (Trulance)

SELF ADMINISTRATION - ORAL 

Indications for Prior Authorization:

  • Treatment of chronic idiopathic constipation (CIC) in adults

Patients must meet the following criteria for the indication(s) above:

  • Diagnosis of chronic idiopathic constipation

  • 18 years of age or older
  • Member has increased fiber intake and tried-failed a stimulant laxative or osmotic laxative
  • Member is not concomitantly taking Linzess or Amitiza

The following conditions do not meet the criteria for use as established by WHA P&T committee:

  • All non-FDA approved uses not listed in the approved indications (e.g., IBS with constipation or opioid induced constipation (OIC))

Dosing:

  • The recommended dosage is 3mg taken once daily

Approval:

  • 1 year

Last review date: May 1, 2017

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