Angiotensin Converting Enzyme Inhibitors - Captopril

Generic Name

 captopril                                                                                                                                               

Strength

6.25 mg, 12.5 mg, 25 mg, 50 mg, 100 mg

Form

 tablet

Special Authority Criteria

Approval Period
  1. Treatment failure on optimal doses of, or intolerance to, ramipril.

      OR

  1. Complex patient requiring medications for co-existing chronic condition(s).

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

  • Patients with co-existing chronic conditions requiring use of multiple medications will be considered complex for the purposes of Special Authority criteria.

Special Authority Request Form(s)