Drug Policy
 
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Below is a list of policies relating to drug coverage, including limitations, criteria for coverage and treatment guidelines.


Covered by workers comp?
For more information, select the link below or call the Preferred Drug List Hotline at 1-888-443-6798. Yes No
With proper documentation Only with pre-authorization On a case-by-case basis
Antiepileptic drugs (AEDs) for neuropathic pain X
drug limitations
   
Antiviral drugs for influenza  
X
   
Benzodiazepines, see
WAC 296-20-03014(4)
X
time limitations
   
Botulinum toxin X  
Carisoprodol products   X
Fentanyl oral products - Fentanyl buccal and transmucosal    X
Fentanyl patch (Duragesic ®)  X 
Hyaluronic acid X  
Local anesthetics - Lidocaine patch (Lidoderm ®) and lidocaine / prilocaine cream (EMLA ®) X  
Opioids for non-cancer painX   
Sedative-hypnoticsX
time limitations
   
Smoking cessation  X 
Tramadol productsX   

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