Dihydropyridine calcium channel blocker drugs – felodipine

Generic name	felodipine
Strength	2.5 mg, 5 mg, 10 mg
Form	extended release tablet

Special Authority criteria	Approval period
Treatment failure on optimal doses of, or intolerance to, amlodipine.       OR 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:
  • Cardiologists
  • Cardiovascular and Thoracic Surgery
  • Internists specializing in cardiology
  • Nephrologists
  • Paediatrics
  • Paediatric Cardiology

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)

• Log in to eForms
• 5328—General Special Authority Request