Limited coverage criteria – deferiprone

Last updated on March 17, 2025

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Generic name	deferiprone
Strength & form	100 mg/mL, 1000 mg oral solution, tablet

Special Authority criteria	Approval period
Treatment of transfusion-dependent iron overload due to thalassemia syndromes, where iron chelation therapy is required, according to established criteria*, and when a Special Authority request is submitted by a hematologist	Initial request: 1 year Renewal request: 1 year

Special Authority criteria

Approval period

Treatment of transfusion-dependent iron overload due to thalassemia syndromes, where iron chelation therapy is required, according to established criteria*, and when a Special Authority request is submitted by a hematologist

Initial request: 1 year

Renewal request: 1 year

Practitioner exemptions

None

Special notes

None

Special Authority request form(s)

* Click on the Special Authority Form below for full criteria:

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