Limited coverage criteria perindopril (ACE inhibitors)

Last updated on March 24, 2025

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

This drug is eligible for automatic approval when patient meets criteria and the request is submitted by eForms.

Generic name		perindopril
Strength & form		2 mg/4 mg/8 mg, tablet

Special Authority criteria	Approval period
Treatment failure on optimal dose of, or intolerance to, ramipril OR Complex patient requiring medications for co-existing chronic condition(s)	Indefinite

Special Authority criteria

Approval period

Treatment failure on optimal dose of, or intolerance to, ramipril

Complex patient requiring medications for co-existing chronic condition(s)

Indefinite

Practitioner exemptions

The following practitioners are not required to submit a Special Authority request for coverage:

Pediatric cardiology
Pediatrics

Special notes

PharmaCare does not cover perindopril in combination with indapamide
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)

Log in to eForms
HLTH 5328 – General Special Authority request (PDF, 656KB)

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