Limited coverage drugs – ivabradine
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Generic name: |
ivabradine hydrochloride |
|
---|---|---|
Strength: |
5 mg, 7.5 mg |
|
Form: |
tablet |
Special Authority criteria |
Approval period |
---|---|
For the treatment of stable heart failure (HF) in patients with New York Heart Association (NYHA) Class II or III HF, who are in the sinus rhythm, if all of the following criteria are met:
|
Indefinite |
Practitioner exemptions
- There are no practitioner exemptions.
Special notes
- None
Special Authority request form(s)
- Log in to eForms
- HLTH 5488: Ivabradine Special Authority Request (PDF)