Angiotensin converting enzyme inhibitors – benazepril

Generic name	benazepril
Strength	5 mg, 10 mg, 20 mg
Form	tablet

Special Authority criteria	Approval period
1. Treatment failure on optimal doses of, or intolerance to, ramipril      OR 2. Complex patient requiring medication(s) for co-existing chronic condition(s)	Indefinite

Practitioner exemptions

• Practitioners in the following specialty are not required to submit a Special Authority request form for coverage:
  • Pediatrics
  • Pediatric cardiology

Special notes

• Patients with co-existing chronic condition(s) requiring use of multiple medications will be considered complex for the purposes of Special Authority criteria

Special Authority request form(s)

• Log in to eForms
• 5328 - General Special Authority Request (PDF, 656KB)