Limited coverage criteria – amlodipine oral solution

Generic name

  amlodipine oral solution

Strength & form

  1 mg/ml oral solution

Special Authority criteria

Approval period

Initial

For patients with an inability to swallow oral amlodipine tablets due to age or disability (includes J-tube or G-tube patients). Provide supporting details regarding the patient’s inability to swallow amlodipine tablets

  1 year

Renewal

Confirmation that the patient is not able to swallow amlodipine tablets