Limited coverage criteria – desmopressin

Last updated on April 15, 2025

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Generic name		desmopressin
Strength & form		0.1 mg, 0.2 mg tablet 60 mcg, 120 mcg rapid-dissolve tablet

Special Authority criteria	Approval period
For the 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)