Histamine 2 Blocker Drugs - Cimetidine
|
Generic Name |
cimetidine |
|
Strength |
300 mg, 400 mg, 600 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.
