Limited coverage criteria – sumatriptan

Last updated on March 24, 2025

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Generic name	sumatriptan
Form	injection

Special Authority criteria	Approval period
Nausea and vomiting that prevents swallowing of oral preparations OR where oral absorption is not practical	Indefinite

Practitioner exemptions

Practitioners specialized in neurology are not required to submit a Special Authority request for coverage

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 – sumatriptan

Generic name

Form

Special Authority criteria

Approval period

Practitioner exemptions

Special notes

Special Authority request form(s)