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Generic name |
naproxen |
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Strength & form |
750 mg, sustained-release tablet |
Special Authority criteria |
Approval period |
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For the treatment of patients who have a: Diagnosis of rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, gout or lupus OR Treatment failure on optimal doses of, or intolerance to, both ibuprofen and naproxen |
Indefinite |
Practitioners in the following specialty are not required to submit a Special Authority request form for coverage: