Limited coverage drugs – nabumetone

Last updated on October 6, 2022

Special Authority requests can now be submitted online. It's simple and quick!

Generic name		nabumetone
Strength		500 mg
Form		tablet

Special Authority criteria	Approval period
For the treatment of patients who have a: Diagnosis of rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, gout or lupus OR Treatment failure on optimal doses of, or intolerance to, all of the following: ibuprofen, naproxen, diclofenac AND either celecoxib or meloxicam.	Indefinite

Special Authority criteria

Approval period

For the treatment of patients who have a:

Diagnosis of rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, gout or lupus

Treatment failure on optimal doses of, or intolerance to, all of the following: ibuprofen, naproxen, diclofenac AND either celecoxib or meloxicam.

Indefinite

Practitioner exemptions

Paediatrics
Paediatric cardiology
Paediatric general surgery
Physical medicine and rehabilitation
Rheumatology

Special notes

Treatment failure on or intolerance to the specific medications listed in the above criteria is required. Treatment failure on, or intolerance to, the following NSAIDs is not sufficient: ketorolac, mefenamic acid, diclofenac potassium, naproxen sodium.

Special Authority request form(s)

Log in to eForms
HLTH 5328 - General Special Authority Request (PDF, 656KB)

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Limited coverage drugs – nabumetone

Practitioner exemptions

Special notes

Special Authority request form(s)