Limited coverage drugs – gabapentin (Plan G)

Last updated on January 23, 2024

Special Authority requests can now be submitted online. It's simple and quick!

Generic Name / Strength / Form
gabapentin - Plan G coverage

Special Authority criteria	Approval period
Diagnosis of bipolar disorder PLUS treatment failure or intolerance to lithium, valproate and carbamazepine.	Indefinite

Practitioner exemptions

No practitioner exemptions

Special notes

Criteria only applicable for Plan G coverage

Special Authority request form(s)

Log in to eForms
HLTH 5328 - Special Authority Request (PDF, 656KB)

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Limited coverage drugs – gabapentin (Plan G)

Practitioner exemptions

Special notes

Special Authority request form(s)