Rational Drug Therapy Program
WVBMS Drug Therapy Guidelines

Amphetamine Products Criteria

 

Comparisons of Amphetamine Products


  1. Amphetamine products covered are agents used to treat learning disorders and narcolepsy.

  2. Modafinil can only be approved for patients >16 years of age with a diagnosis of narcolepsy.  Prescriptions for excessive daytime sleepiness due to shift/time changes or sleep apnea can not be approved.  Prescriptions for modafinil for learning disorder can not be approved for payment. 

  3. No obesity control products will be covered.   

  4. Amphetamines ordered for depression will only be covered after a documentation of multiple failure of other anti-depressants.

 

Rational Drug Therapy Program
West Virginia University School of Pharmacy
P.O. Box 9511
Morgantown, WV 26506-9511
Phone 800 847 3859
Fax 800 531 7787