Stomatitis
Gastrointestinal
Stomatitis is treated with 4 medications in our database, including Lidocaine hydrochloride, Lidocaine Viscous, KOURZEQ, Oralone. 2 of these have manufacturer assistance programs available to help reduce out-of-pocket costs. Medications are manufactured by Fresenius Kabi, MorphiDex, Taro. Patients and caregivers can find copay cards, patient assistance programs, and travel grants for Stomatitis treatment below.
What help exists for Stomatitis
6
drugs indexed
1
with copay cards
1
with patient assistance
0
open travel grants
Every item below links to the manufacturer's or charity's own portal. RxCopays does not take referral fees.
Drugs used to treat Stomatitis
6 totalLidocaine Viscous
Lidocaine Hydrochloride
DycloPro
Dyclonine Hydrochloride · Septodont
Silver Nitrate Applicators
Silver Nitrate Applicators · Bray
LIDOCAINE HYDROCHLORIDE
Lidocaine Hydrochloride · Hospira
🎟💙Oralone
Triamcinolone Acetonide
KOURZEQ
Triamcinolone Acetonide · Kylara Pharmaceuticals
🎟 = copay card · 💙 = patient assistance program
Prior authorization patterns for Stomatitis drugs
Aggregated from CMS SPUF + commercial PBM formularies. Specific rules vary by plan; confirm with your insurer.
| Payer | PA | Step therapy | Copay tier |
|---|---|---|---|
— Medicare Part D | — | — | — |
— Medicare Part D | — | — | — |
— Medicare Part D | — | — | — |
— Medicare Part D | — | — | — |
— Medicare Part D | — | — | — |
— Medicare Part D | — | — | — |
— Medicare Part D | — | — | — |
— Medicare Part D | — | — | — |
— Medicare Part D | — | — | — |