Dihydropyridine Calcium Channel Blocker Drugs - Nifedipine

Generic Name

nifedipine                       

Strength

20 mg, 30 mg, 60 mg

Form

extended release tablet

Criteria

Approval Period

1. Treatment failure on optimal dose of, or intolerance to, amlodipine.

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:

  • Cardiologists
  • Cardiovascular and Thoracic Surgery
  • Internists specializing in cardiology
  • Nephrologists
  • Paediatrics
  • Paediatric Cardiology

Special Notes

  • Immediate-release nifedipine capsules will be covered by Special Authority only for a person with a diagnosis of vasospastic angina (Prinzmetal angina).
     
  • 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)