Limited Coverage Drugs - Special Authority Criteria
Generic Name / Strength / Form |
|
---|---|
risedronate 30mg |
Criteria | Approval Period |
---|---|
Diagnosis of Paget's disease |
Indefinite |
Practitioner Exemptions
- No practitioner exemptions
Special Notes
- None
Special Authority Request Form(s)
Online Forms (PDF, 523KB)
Click on the link to complete a special authority request form.