Limited Coverage Drugs - Special Authority Criteria

Generic Name / Strength / Form
ropinirole

Criteria Approval Period
1. Treatment of idiopathic Parkinson's disease
PLUS
person cannot tolerate or has contraindications to levodopa and bromocriptine.

OR

2. Adjunctive treatment with levodopa in an individual who cannot use bromocriptine.

 Indefinite

Practitioner Exemptions

  • No practitioner exemptions

Special Notes

  • None

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