Histamine 2 Blocker Drugs - cimetidine
Generic Name |
cimetidine |
---|---|
Strength |
200 mg, 300 mg |
Form |
tablet |
Special Authority Criteria |
Approval Period |
---|---|
Treatment failure on prescription dose of, or intolerance to, ranitidine. |
Indefinite |
Practitioner Exemptions
Practitioners in the following specialty are not required to submit a Special Authority request form for coverage:
- Paediatric cardiology
- Paediatrics
- Paediatric general surgery
Special Notes
- Prescription dose of ranitidine for adults is considered to be 150 mg twice daily or 300 mg once daily.