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Limited Coverage Drugs - Special Authority Criteria
| Generic Name / Strength / Form |
| valsartan |
| Criteria |
Approval Period |
| Person identified as experiencing intractable cough or angioedema on an Angiotensin Converting Enzyme Inhibitor (ACE-I). |
Indefinite |
Practitioner Exemptions
- No practitioner exemptions
Special Notes
- Individuals requiring a diuretic combination product must satisfy the same criteria.
Online Forms (PDF)
Click on the link to complete a special authority request form.
PDF Format
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Last Revised: July 10, 2007
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