Non Steroidal Anti Inflammatory Drugs - Indomethacin

Generic Name     

indomethacin                        
Strength 25 mg, 50 mg
Form capsule

Criteria

Approval Period

1. Diagnosis of rheumatoid or psoriatic arthritis, ankylosing spondylitis, gout or lupus.

OR

2. Treatment failure on optimal dose of, or intolerance to, at least one of the following: ASA-enteric coated, ibuprofen, or naproxen.

Indefinite

Practitioner Exemptions

Practitioners in the following specialty are not required to submit a Special Authority request form for coverage:

  • Paediatrics
  • Paediatric Cardiology
  • Paediatric General Surgery
  • Physical Medicine and Rehabilitation
  • Rheumatology

Special Notes

  • Topical indomethacin is not eligible for PharmaCare coverage.
  • Suppositories are regular benefits and not subject to the RDP.

Special Authority Request Form(s)