Angiotensin Converting Enzyme Inhibitors - Fosinopril

Generic Name

fosinopril                        

Strength

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 medications 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:

  • Paediatric
  • Paediatrics Cardiology

Special Notes

  • Patients with co-existing chronic conditions requiring use of multiple medications will be considered complex for the purposes of Special Authority criteria. 

Special Authority Request Form(s)

5328—General Special Authority Request