Angiotensin Receptor Blockers - Telmisartan

Generic Name

telmisartan, including in combination with hydrochlorothiazide or amlodipine

Strength

40 mg, 80 mg;
80 mg/12.5 mg, 80 mg/25 mg; 
40 mg/5 mg, 40 mg/10 mg, 80 mg/5 mg, 80 mg/10 mg
Form tablet

Criteria

Approval Period

Person identified as experiencing intractable cough or angioedema on an Angiotensin Converting Enzyme Inhibitor (ACE-I).

PLUS (for amlodipine combinations)

Is currently taking stable doses of both telmisartan and amlodipine.

Indefinite

Practitioner Exemptions

  • No practitioner exemptions

Special Notes

  • Individuals requiring a combination product must satisfy the same criteria.

Special Authority Request Form(s)