Limited coverage drugs – aztreonam
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Generic name |
aztreonam |
---|---|
Strength |
75 mg/ml
|
Form |
vial-neb |
Special Authority criteria |
Approval period |
---|---|
For the cyclic treatment of chronic Pseudomonas aeruginosa infections in patients with: Moderate to severe cystic fibrosis AND A deteriorating clinical condition despite treatment with inhaled tobramycin |
Indefinite |
Practitioner exemptions
- None
Special notes
- Cyclic treatment is measured in 28-day cycles and is defined as 28 days “on” aztreonam followed by 28 days “off”
- Aztreonam may be prescribed either as monotherapy or as a combination treatment with another therapy chosen by the prescribing physician
- Aztreonam is a PharmaCare high-cost drug. PharmaCare reimburses high-cost drugs eligible for coverage to a maximum price based on the manufacturer list price plus a 5 percent mark-up