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HumanaMedicare Advantage · Prior Auth · Medicare Advantage · Sleep Medicine, Family Medicine, Internal Medicine +2 moreMedium impact

Quviviq (daridorexant) (Revised)

Act
immediately
Effective date
Jan 1, 2024
Identified
Jun 24, 2026
Replaced. This version was replaced by Quviviq (daridorexant) (Revised) (published Jan 1, 2024).

Summary

Humana Medicare Advantage has updated its step therapy policy for Quviviq (daridorexant), an insomnia medication. Members must now have previous treatment, contraindication, or intolerance to Belsomra (suvorexant) or trazodone before Quviviq will be covered.

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What to do

immediately · 2 steps
01Providers treating insomnia patients must document previous treatment, contraindication, or intolerance to Belsomra (suvorexant) or trazodone tablet before prescribing Quviviq (daridorexant) for Medicare Advantage members.
02Update EMR templates to include step therapy documentation requirements.
If missed: Failure to meet criteria will result in coverage denials.

Original notice

Quviviq (daridorexant) (Revised)
mcp.humana.com · Always check the source before changing claims.
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Related changes

See all Humana changes →
Quviviq (daridorexant) (Revised)MediumNo effective date · Medicare AdvantageQuviviq (daridorexant) (Revised)MediumEffective Jan 1, 2024 · Medicare AdvantageQuviviq (daridorexant) (Revised)MediumEffective Jan 1, 2024 · Medicare AdvantageBrowse every Humana change in the policy list

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