Limited Coverage Drugs - Special Authority Criteria
Generic Name / Strength / Form
|hydromorphone controlled release AND prolonged release|
Pain management in a specified chronic pain (including cancer pain) diagnosis*
For patients who are unable to tolerate or receive an adequate response to either the regular release dosage forms of hydromorphone alone OR the sustained release preparations of morphine.
- Oncologist (medical)
- Oncologist (radiation)
- Details regarding patient's condition and previous medication history are required.
- Renewal requests should provide update on patient’s current dose and condition.
- Hydromorphone controlled release and prolonged release are full benefits for patients registered with the BC Palliative Care Benefits Program.
Special Authority Request Form(s)
Online Forms (PDF, 523KB)
Click on the link to complete a special authority request form.