Angiotensin Converting Enzyme Inhibitors – Lisinopril
Generic Name |
lisinopril, including in combination with hydrochlorothiazide |
|
Strength |
5 mg, 10 mg, 20 mg, 10 mg/12.5 mg, 20 mg/12.5 mg, 20 mg/25 mg | |
Form | tablet |
Criteria |
Approval Period |
|
Indefinite |
Practitioner Exemptions
Practitioners in the following specialty are not required to submit a Special Authority request form for coverage:
- Paediatric Cardiology
- Paediatrics
Special Notes
- Individuals requiring a diuretic combination product must satisfy the same criteria.
- Patients with co-existing chronic conditions requiring use of multiple medications will be considered complex for the purposes of Special Authority criteria.