Return to Special Authority drug list
Generic name |
somatropin |
||
Brand name |
Strength |
Form |
|
Genotropin® |
5.3 mg, 12 mg / pen (GoQuick™); 0.6 mg, 0.8 mg, 1.0 mg, 1.2 mg, 1.4 mg, 1.6 mg, 1.8 mg, 2.0 mg |
syringe (MiniQuick™) |
|
Humatrope® |
5 mg / vial; 6 mg, 12 mg, 24 mg |
cartridges |
|
Nutropin AQ® |
10 mg / cartridge (Pen®); 5mg, 10mg, 20mg |
cartridge (NuSpin®) |
|
Omnitrope® |
5 mg, 10 mg, 15 mg / cartridges |
cartridges |
|
Saizen® |
3.33 mg, 5 mg / vials; 8.8 mg / vial (click.easy®); 6 mg, 12 mg, 20 mg |
cartridges |
|
Norditropin® NordiFlex™ Norditropin® Flexpro™ |
5 mg, 10 mg, 15 mg |
prefilled pen |
Special Authority criteria |
Approval period |
---|---|
For patients 20 years and younger, when a Special Authority request is submitted by:
OR
|
Up to the patient's 21st birthday |