Limited coverage criteria – zopiclone

Generic name

Treatment of insomnia PLUS diagnosis of HIV/AIDS

OR

Treatment of insomnia PLUS identified psychiatric diagnosis

OR

Treatment of insomnia PLUS patient intolerant to or failed on at least three benzodiazepines

OR

Treatment of insomnia PLUS patient intolerant to or failed on at least two benzodiazepines and one other hypnotic agent

OR

Treatment of insomnia PLUS patient with a history of drug or alcohol addiction

OR

Treatment of insomnia PLUS fragile, elderly patient

Indefinite