ULORIC (febuxostat)
SELF ADMINISTRATION - ORAL
Indications for Prior Authorization:
- Chronic management of hyperuricemia in patients with gout
Prior authorization criteria:
- Patient has gout with symptomatic hyperuricemia, AND
- Patient has tried and failed allopurinol, AND
- Patient will not be concomitantly taking azathioprine or mercaptopurine
Dosing:
- Initial: 40 mg once daily; for patients who do not achieve a serum uric acid less than 6 mg/dL after 2 weeks with 40 mg, Uloric 80 mg is recommended
Approval:
- One year