Histamine 2 blocker drugs – famotidine

Last updated on August 26, 2024

Generic name

famotidine

Strength

20 mg and 40 mg
Form

tablet

Special Authority criteria

Approval period

Treatment failure on prescription dose of, or intolerance to, ranitidine

Indefinite

Practitioner Exemptions

  • Practitioners in the following specialty are not required to submit a Special Authority request form for coverage:
    • Pediatrics
    • Pediatric cardiology
    • Pediatric general surgery

Special notes

  • Prescription dose of ranitidine for adults is considered to be 150 mg twice daily or 300 mg once daily
  • Non-prescription use of famotidine is not eligible for PharmaCare coverage

Special Authority request form(s)