Limited coverage criteria - eprosartan (ARB)

Last updated on March 17, 2025

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Generic name	eprosartan, including in combination with hydrochlorothiazide
Strength & form	600 mg, 600 mg/12.5 mg tablet

Special Authority criteria	Approval period
Person identified as experiencing intractable cough or angioedema on angiotensin-converting enzyme inhibitor (ACE-I) AND Failure on optimal doses of, or intolerance to, ALL reference drugs: candesartan, losartan, telmisartan AND valsartan	Indefinite

Special Authority criteria

Approval period

Person identified as experiencing intractable cough or angioedema on angiotensin-converting enzyme inhibitor (ACE-I)

AND

Failure on optimal doses of, or intolerance to, ALL reference drugs: candesartan, losartan, telmisartan AND valsartan

Indefinite

Practitioner exemptions

None

Special notes

Individuals requiring a diuretic combination product must satisfy the same criteria
Eprosartan 300 mg and 400 mg dosages are not PharmaCare benefits

Special Authority request form(s)

Log in to eForms
HLTH 5492 – ARB request (PDF, 672KB)

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