Limited coverage criteria – linezolid

Last updated on March 19, 2025

Special Authority requests can now be submitted online. It's simple and quick!

Generic name		linezolid
Strength & form		600 mg tabet

Special Authority criteria	Approval period
Treatment of vancomycin-resistant enterococcus infections OR Treatment of methicillin-resistant staphylococcus aureus in individuals who are unresponsive to or intolerant of parenteral vancomycin	Maximum 30 days

Special Authority criteria

Approval period

Treatment of vancomycin-resistant enterococcus infections

Treatment of methicillin-resistant staphylococcus aureus in individuals who are unresponsive to or intolerant of parenteral vancomycin

Maximum 30 days

Practitioner exemptions

Infectious disease specialists

Special notes

None

Special Authority request form(s)

Log in to eForms
HLTH 5328 – General Special Authority request (PDF, 656KB)

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