Approved Formulary
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Approved Formulary
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venlafaxine hcl

venlafaxine hcl
  • Earned In-Cell If AIC demonstrates adherence to proper regimen for 60 or more days
  • Exceptions / Designators Only the XR form is formulary. Maximum formulary dose is 300mg per day. Daily doses exceeding 300mg require TLoC approval.
Brand names: EFFEXOR, Venlafaxine HYDROCHLORIDE ER
Form Strength  
CAPSULE, EXTENDED RELEASE, ORAL 37.5 mg; 75 mg; 150 mg
Last updated: Mar. 11, 2024

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