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Drug - Zorvolex™(diclofenac) [Iroko Pharmaceuticals LLC]

March 2014

Therapeutic Area - NSAIDS

Approval criteria

Patient has tried and failed at least 3 different traditional NSAIDs, one of which must be generically available diclofenac.

Quantity limit

Quantity Limit = 102 capsules (applies to all strengths)

Background information

ZORVOLEX™ is an NSAID indicated for treatment of mild to moderate acute pain in adults. It is supplied as 18 mg and 35 mg capsules, at a cost of $2.50 per capsule. Generic diclofenac is available at $0.36 - $0.47 per capsule.


MHCP Provider Call Center 651-431-2700 or 800-366-5411

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