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Sitavig

DrugSitavig® (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

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