Limited coverage drugs – gabapentin (Plan G)

Last updated on August 26, 2024

Generic Name / Strength / Form

gabapentin - Plan G coverage

Special Authority criteria

Approval period

Diagnosis of bipolar disorder
PLUS
treatment failure or intolerance to lithium, valproate and carbamazepine.
Indefinite

Practitioner exemptions

  • No practitioner exemptions

Special notes

  • Criteria only applicable for Plan G coverage

Special Authority request form(s)