Limited coverage drugs – linezolid

Last updated on August 23, 2024

Generic name

linezolid

Strength

600mg
Form tablet

Criteria

Approval period

1. treatment of vancomycin-resistant enterococcus infections

OR

2. 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)