Angiotensin receptor blockers – losartan
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|
Generic name |
losartan, including in combination with hydrochlorothiazide | |
|---|---|---|
|
Strength |
25 mg, 50 mg, 100 mg, 50 mg/12.5 mg, 100 mg/12.5 mg, 100 mg/25 mg | |
| Form | tablet | |
|
Criteria |
Approval period |
|---|---|
|
Person identified as experiencing intractable cough or angioedema on an Angiotensin Converting Enzyme Inhibitor (ACE-I). |
Indefinite |
Practitioner exemptions
- No practitioner exemptions
Special notes
- Individuals requiring a diuretic combination product must satisfy the same criteria.
Special Authority request form(s)
- Log in to eForms
- HLTH 5492: ARB Request Form
