Limited coverage criteria – lovastatin

Last updated on March 19, 2025

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Generic name	lovastatin
Strength & form	20 mg, 40 mg tablet

Special Authority criteria	Approval period
Treatment failure on optimal doses of, or specified intolerance to, BOTH reference drugs: atorvastatin AND rosuvastatin	Indefinite

Practitioner exemptions

No practitioner exemptions

Special notes

None

Special Authority request form(s)

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

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Limited coverage criteria – lovastatin

Generic name

Strength & form

Special Authority criteria

Approval period

Practitioner exemptions

Special notes

Special Authority request form(s)