Limited coverage criteria – rabeprazole

Last updated on March 21, 2025

Special Authority requests can now be submitted online. It's simple and quick!

This drug is eligible for automatic approval when patient meets criteria and the request is submitted by eForms.

Generic name		rabeprazole
Strength & form		10 mg/20 mg tablet

Special Authority criteria	Approval period
For gastroesophageal reflux disease (GERD), reflux esophagitis, duodenal ulcer, or gastric ulcer	Indefinite
For Barrett's esophagus, Zollinger-Ellison syndrome, connective tissue disease, e.g., lupus, scleroderma, CREST¹	Indefinite
For eradication of Helicobacter pylori as part of triple therapy	Maximum 14 days

Practitioner exemptions

Practitioners in the following specialty are not required to submit a Special Authority request for coverage:

Gastroenterologists

Special notes

¹CREST is an acronym for the five main features of the limited form of scleroderma: calcinosis, Raynaud’s disease, esophageal dysmotility, sclerodactyly, and telangiectasia

Special Authority request form(s)

Log in to eForms
HLTH 5350 - Proton Pump Inhibitors (PPIs) (PDF, 127KB)

Did you find what you were looking for?

The B.C. Public Service acknowledges the territories of First Nations around B.C. and is grateful to carry out our work on these lands. We acknowledge the rights, interests, priorities, and concerns of all Indigenous Peoples - First Nations, Métis, and Inuit - respecting and acknowledging their distinct cultures, histories, rights, laws, and governments.

More topics

Limited coverage criteria – rabeprazole

Generic name

Strength & form

Special Authority criteria

Approval period

Practitioner exemptions

Special notes

Special Authority request form(s)