CNS Stimulants C4191-A - Molina Marketplace

UnitedHealthcare benefit documents define Therapeutically Equivalent as when medications/products have essentially the same efficacy and adverse ...







New and Therapeutic Equivalent Medications - Excluded Drug
Methylphenidate ER ODT (Cotempla XR-. ODT)37. Once daily in the morning. ? ADHD (children ages 6?17 years). 10?12 hours. Methylphenidate ER transdermal patch.
2024.07 Stimulants and Sedative-Hypnotics Concomitant Use.pdf
Cotempla® XR (methylphenidate IR/ER 25:75%) ODT. Focalin® XR ... with Chorea or Tardive Dyskinesia (TD) AND the patient is ?18 years of age.
THERAPEUTIC DRUG CLASS
COTEMPLA XR-ODT (methylphenidate. ER). DAYTRANA (methylphenidate) patch. DESOXYN (methamphetamine) tablet. DEXEDRINE (dextroamphetamine).



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CNS SPECTRUMS - Neuroscience Education Institute