VIVLODEX (meloxicam)

VIVLODEX (meloxicam)

SELF ADMINISTRATION - Oral

Indications for Prior Authorization:

• Management of osteoarthritis pain

Patients must meet the following criteria for the indication(s) above:

• Used for the management of osteoarthritis pain, AND
• Chart note documentation is provided and confirms: patient has tried and failed two preferred generic prescription strength oral NSAIDs (nonsteroidal antiinflammatory drugs), one of the two must be generic meloxicam (Mobic®) OR there is a medically appropriate reason why generic alternatives cannot be tried

Dosing:

• Starting dose: 5 mg once daily
• May be increased to 10 mg in patients who require additional analgesia (maximum daily dose is 10 mg)