Drugs for the Nervous System
Drugs for Seizures /Personality Disorder/Nerve Pain

BRAND NAME: Xcopri (250 MG Daily Dose)

GENERIC NAME: 
cenobamate No Generic Available
  Status Notes or Restrictions
Anthem Blue Cross (HMO, PPO, EPO) nonform.gif (625 bytes) NOTES_restrict.gif (377 bytes)
Cigna + Oscar notlisted.gif (324 bytes)  
Health Net priorauth.gif (816 bytes) NOTES_restrict.gif (377 bytes)
Kaiser Foundation Health Plan Northern California notreimb.gif (645 bytes)  
Kaiser Foundation Health Plan Southern California notreimb.gif (645 bytes)  
Oscar preferred.gif (540 bytes)  
Sharp Health Plan preferred.gif (540 bytes)  
Sutter Health Plus approved.gif (510 bytes) NOTES.gif (377 bytes)
UnitedHealthcare approved.gif (510 bytes) NOTES_restrict.gif (377 bytes)
Western Health Advantage approved.gif (510 bytes) NOTES_restrict.gif (377 bytes)


preferred.gif (540 bytes)  Preferred

approved.gif (510 bytes)   Approved

priorauth.gif (816 bytes)  Prior Auth.
nonform.gif (625 bytes)    Non-Formulary notreimb.gif (645 bytes)   Not Reimbursed notlisted.gif (324 bytes)   Not Listed
nonform.gif (625 bytes)    Benefits/Policies generic.gif (400 bytes) Generic Available, Brand Listed for reference only. Brand may not be covered.

NOTES.gif (377 bytes)NOTES_restrict.gif (372 bytes)

 Notes or
Restrictions

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