Limited coverage drugs – telmisartan

Generic name

 telmisartan, including in combination with hydrochlorothiazide or amlodipine

Strength

40 mg, 80 mg;
80 mg/12.5 mg, 80 mg/25 mg; 
40 mg/5 mg, 40 mg/10 mg, 80 mg/5 mg, 80 mg/10 mg
Form tablet

Special Authority criteria

Approval period

For patients experiencing intractable cough or angioedema on an angiotensin converting enzyme inhibitor (ACE-I).

PLUS (for amlodipine combinations)

is currently taking stable doses of both telmisartan and amlodipine

Indefinite

Practitioner exemptions

  • None

Special notes

  • Individuals requiring a combination product must satisfy the same criteria.

Special Authority requests