Angiotensin converting enzyme inhibitors – enalapril

Last updated on August 26, 2024

Generic name

enalapril, including in combination with hydrochlorothiazide

Strength

2.5 mg, 5 mg, 10 mg, 20 mg, 5mg/12.5mg, 10 mg/25 mg        

Form

tablet

Special Authority criteria

Approval period

1. Treatment failure of, or intolerance to, ramipril

OR

2. Complex patient requiring medications 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

  • Individuals requiring a diuretic combination product must satisfy the same criteria
  • Patients with co-existing chronic conditions requiring use of multiple medications will be considered complex for the purposes of Special Authority criteria

Special Authority request form(s)