Limited Coverage Drugs - Pramipexole
Generic Name / Strength / Form
|Special Authority Criteria||Approval Period|
|For the treatment of idiopathic Parkinson's disease
1. Patient cannot tolerate or has contraindications to levodopa and bromocriptine
2. Patient is receiving adjunctive treatment with levodopa and cannot tolerate or has contraindications to bromocriptine.
- Pramipexole for restless leg syndrome is not eligible for PharmaCare coverage.