A screenshot of the XARTEMIS® XR (oxycodone HCI) and acetaminophen extended-release tablets (CII) coverage for 77% of patients in North Carolina. The table is divided into three columns - Plan Name Channel and Tier Status.
The first column lists the names of the patients in the chart with the Channel at the top and the Tier Status at the bottom. The Channel is the largest and the Channel is smaller. The Tier Status is the smallest and has the highest number of patients.
At the bottom of the table there is a note that reads "CVS/Caremark - PA Criteria - Manual PA" and a yellow button that says "Patient has a patient-specific pain management plan and has been updated in the past 12 months. Patient has tried and failed sustained-release morphine at equivalent dosage."
On the top right corner of the image there are icons for the Xartemis® Xu app which is a medical app that provides information about the coverage of XARTEMS® XR.
Category
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Date
2014
Collection
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