Limited Coverage Drugs - Special Authority Criteria

Generic Name / Strength / Form
dronabinol

Criteria Approval Period
For the treatment of nausea and vomiting associated with cancer chemotherapy. First approval: One year

Renewals: One year

Practitioner Exemptions

  • Oncologist (medical)
  • Oncologist (radiation)

Special Notes

  • Dronabinol for AIDS related anorexia is not eligible for PharmaCare coverage.

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