Limited coverage drugs – rufinamide

Last updated on September 26, 2024

Generic name

rufinamide

Strength

100 mg, 200 mg, 400 mg
Form tablet
Special Authority criteria Approval period

For the treatment of Lennox-Gastaut syndrome (LGS) when prescribed by a neurologist as adjunctive therapy in a patient who is currently taking at least two other anti‑epileptic drugs.

 

Indefinite

Practitioner exemptions

  • None

Special notes

  • None

Special Authority requests