Limited coverage criteria – budesonide capsules

Last updated on February 28, 2025

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Generic name	budesonide
Strength & form	3 mg capsule

Special Authority criteria

Approval period

For treatment of Crohn's disease

PLUS

Treatment failure or intolerance to oral prednisone

Indefinite

Practitioner exemptions

None

Special notes

None

Special Authority request form(s)

Log in to eForms
HLTH 5328 - General Special Authority request (PDF, 656KB)

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