Limited Coverage Drugs - Special Authority Criteria

Generic Name / Strength / Form

morphine sulfate sustained-release suppositories

Criteria

Approval Period

For pain management in cancer, palliative care and chronic pain
PLUS
patients who are unable to tolerate or receive an adequate response to the regular dosage forms of morphine.
Indefinite

Practitioner Exemptions

  • Oncologists (medical)
  • Oncologists (radiation)
  • Haemotologists

Special Notes

  • Details regarding patient's condition and previous medication history are required.

Special Authority Request Form(s)

Online Forms (PDF, 524KB)
Click on the link to complete a special authority request form.