Sitavig
Drug - Sitavig® (acyclovir buccal tablets) [Innocutis Holdings, LLC]
November 2014
Therapeutic Area - Antiviral
Approval criteria
- Patient must have tried and failed generic oral acyclovir AND
- Patient must have tried and failed generic oral valacyclovir AND
- Patient must have tried and failed OTC docosanol
Quantity limit
Quantity limit = 2
Questions?
MHCP Provider Call Center 651-431-2700 or 800-366-5411