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