Limited Coverage Drugs – Budesonide capsules

Generic Name

budesonide

Strength

3 mg
Form capsule

Special Authority Criteria

Approval Period

For treatment of Crohn's disease
PLUS
treatment failure or intolerance to oral prednisone.

Indefinite

 

Practitioner Exemptions

  • No practitioner exemptions

Special Notes

  • None

Special Authority Request Form(s)