Limited coverage drugs – granisetron
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Generic name |
granisetron |
---|---|
Strength |
1 mg, 1 mg/mL |
Form |
tablet, vial |
Special Authority criteria |
Approval period |
---|---|
Prevention and treatment of nausea and vomiting associated with chemotherapy | First approval: 6 months
Renewals: 6 months |
Practitioner exemptions
Practitioners in the following specialties are not required to submit a Special Authority request for coverage:
- oncologist (medical)
- oncologist (radiation)
Special notes
- None
Special Authority requests