Limited coverage drugs – voriconazole

Last updated on September 27, 2024

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Generic name	Strength	Form
voriconazole	50 mg, 200 mg	tablet
voriconazole	200 mg	injection

Criteria	Approval period
For continuation of hospital-initiated treatment of invasive aspergillosis OR For continuation of hospital-initiated treatment of culture-proven invasive candidiasis with documented resistance to fluconazole.	3 months

Criteria

Approval period

For continuation of hospital-initiated treatment of invasive aspergillosis

For continuation of hospital-initiated treatment of culture-proven invasive candidiasis with documented resistance to fluconazole.

3 months

Practitioner exemptions

None

Special notes

PharmaCare does not provide coverage for community-initiated treatment of invasive aspergillosis associated with HIV.

Special Authority requests

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Limited coverage drugs – voriconazole

Practitioner exemptions

Special notes

Special Authority requests