Limited Coverage Drugs - Cyproterone

Generic Name Strength Form
cyproterone 100 mg/1 mL ampul
cyproterone 50 mg tablet

Special Authority Criteria

Approval Period

Indication of need to reduce aggressive sexual drive. Indefinite

Practitioner Exemptions

  • No practitioner exceptions.

Special Notes

  • Criteria applicable for all plans including Plan G.
  • For any cancer related condition, please contact the British Columbia Cancer Agency at (604) 877-6098 ext. 4610.

Special Authority Request Form(s)