Limited coverage criteria – desmopressin

Last updated on March 17, 2025

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Generic name	Strength & form
desmopressin oral	0.1 mg, 0.2 mg tablet
desmopressin oral 60 mcg	120 mcg, 240 mcg disintegrating tablet

Special Authority criteria	Approval period
Treatment of diabetes insipidus	Indefinite

Practitioner exemptions

None

Special notes

Desmopressin oral will not be available as a benefit for the indication of nocturnal enuresis

Special Authority request form(s)

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HLTH 5328 – General Special Authority request (PDF, 656KB)

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Limited coverage criteria – desmopressin

Generic name

Strength & form

Special Authority criteria

Approval period

Practitioner exemptions

Special notes

Special Authority request form(s)