Limited Coverage Drugs - duloxetine

Generic Name

duloxetine                                                                                                                                           
Strength

30 mg, 60 mg

Form

delayed-release capsules

Special Authority Criteria

Approval Period

For the treatment of neuropathic pain in adult patients, when:

  • The patient has had an inadequate response to trials of gabapentin and at least 1 tricyclic antidepressant agent.

    AND
     
  • Duloxetine is prescribed at a maximum dose of 60 mg/day.

Indefinite

Practitioner Exemptions

  • None

Special Notes

  • PharmaCare also covers duloxetine for patients enrolled in Plan P, BC Palliative Care Benefits Program, as a regular benefit at a maximum dose of 60 mg/day.

Special Authority Request Form