Maximum Daily Dose/ interval - Aetna
Maximum Daily Dose with Precertification
|Drug |Zollinger-Ellison |Barrett’s esophagus |H-Pylori |Refractory GERD |
| |Syndrome | | | |
|Nexium |240 mg |80 mg |80 mg |80 mg |
|Prilosec |Up to 180 packets in |Up to 120 packets in |Up to 120 packets in 30 |Up to 120 packets in 30 |
| |30 days |30 days |days |days |
|lansoprazole |180 mg |60 mg |60 mg |30 mg |
|Prevacid | | | | |
omeprazole/sodium bicarbonate,
Zegerid |80 mg |40mg |40 mg |40 mg | |
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