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Desoxyn

Drug  - Desoxyn® (methamphetamine sulfate tablets) [Recordati Rare Diseases, Inc.]; methamphetamine sulfate tablets

May 2016

Therapeutic area - Stimulants

Approval criteria

  • Patient must be 6 years of age or older AND
  • Patient has a diagnosis of attention-deficit hyperactivity disorder (ADHD) AND
  • Patient has tried and failed immediate-release AND extended-release methylphenidate AND
  • Patient has tried and failed immediate-release AND extended-release amphetamine AND
  • Patient has tried and failed immediate-release AND extended-release amphetamine/dextroamphetamine AND
  • Patient has tried and failed immediate-release AND extended release dextroamphetamine AND
  • Patient has tried and failed immediate-release AND extended release desmethylphenidate AND
  • Patient has tried and failed lisdexamfetamine AND
  • Patient has tried and failed atomoxetine AND
  • Patient has tried and failed extended release clonidine AND
  • Patient has tried and failed extended release guanfacine

Quantity limit

5 mg = 170 tablets per 34 days

Additional information

No approvals will be given for the treatment of obesity.

Questions?

MHCP Provider Call Center 651-431-2700 or 800-366-5411

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