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Limited Coverage Drugs - Special Authority Criteria
| Generic Name / Strength / Form |
| dutasteride 0.5mg |
| Criteria |
Approval Period |
Diagnosis of benign prostatic hyperplasia
PLUS
Treatment failure or intolerance to alpha-blocking agents. |
Indefinite |
Practitioner Exemptions
- No practitioner exemptions
Special Authority Form
Online Forms (PDF)
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Last Revised: June 21, 2006
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