Limited coverage drugs – formoterol

Last updated on October 6, 2022

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Generic name	formoterol
Strength	6 mcg or 12 mcg
Form	dry powder for oral inhalation

Special Authority criteria	Approval period
Diagnosis of asthma AND inadequate response on optimal dose of inhaled corticosteroid.	Indefinite

Practitioner exemptions

Respirologists and allergists are not required to submit a Special Authority request form for coverage.

Special notes

None

Special Authority request form(s)

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HLTH 5328 - General form for asthma (PDF, 656KB)

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Limited coverage drugs – formoterol

Practitioner exemptions

Special notes

Special Authority request form(s)