Limited Coverage Drugs - Special Authority Criteria

Generic Name / Strength / Form
bupropion

Criteria Approval Period
Diagnosis indicating depression. Indefinite

Practitioner Exemptions

  • No practitioner exemptions

Special Notes

  • Criteria applicable for all plans including Plan G.
  • Bupropion, when prescribed for smoking cessation or a non-approved indication as per Health Canada, is not eligible for PharmaCare benefit.
  • Zyban® is not eligible for special authority.

Online Forms (PDF)
Click on the link to complete a special authority request form.