Qutenza® (capsaicin 8% patch)

For further information, please see the Injectable drugs page.

Code(s): J7335

Benefit: Medical

Notes:

Diagnosis of post-herpetic neuralgia

Prior use of all of the following:

  • Gabapentin
  • Lyrica (requires step therapy with gabapentin)
  • Generic tricyclic antidepressant (TCA)
  • oxycodone CR or morphine CR Lidoderm Patch (requires prior authorization)