Limited coverage criteria – simvastatin

Last updated on March 21, 2025

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Generic name	simvastatin
Strength & form	5 mg/10 mg/20 mg/40 mg/80 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

None

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 – simvastatin

Generic name

Strength & form

Special Authority criteria

Approval period

Practitioner exemptions

Special notes

Special Authority request form(s)