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Benazepril is in the ACEI categoryof theReference Drug Program. Ramipril is the fully covered reference drug in the category and does not require Special Authority.
Treatment failure on optimal doses of, or intolerance to, ramipril
OR
Complex patient requiring medication(s) for co-existing chronic condition(s)
Indefinite
Practitioner exemptions
Practitioners in the following specialty are not required to submit a Special Authority request form for coverage:
Pediatrics
Pediatric cardiology
Special notes
Patients with co-existing chronic condition(s) requiring use of multiple medications will be considered complex for the purposes of Special Authority criteria