Limited coverage criteria – hydroxyurea

Last updated on April 15, 2025

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Generic name		hydroxyurea
Strength & form		500 mg capsules

Special Authority criteria	Approval period
Diagnosis of pustular psoriasis	Indefinite

Practitioner exemptions

No practitioner exemptions

Special notes

For any cancer-related condition, please contact the British Columbia Cancer Agency at (604) 877-6098 ext. 4610

Special Authority request form(s)

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

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Limited coverage criteria – hydroxyurea

Generic name

Strength & form

Special Authority criteria

Approval period

Practitioner exemptions

Special notes

Special Authority request form(s)