Limited coverage drugs – deferasirox

Last updated on August 20, 2024

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Generic name	deferasirox
Strength	Tablet, dispersible: 125 mg, 250 mg, 500 mg Tablet, oral: 90 mg, 180 mg, 360 mg
Form	tablet (dispersible and oral)

Generic name

deferasirox

Strength

Tablet, dispersible: 125 mg, 250 mg, 500 mg

Tablet, oral: 90 mg, 180 mg, 360 mg

Form

tablet (dispersible and oral)

Special Authority criteria	Approval period
Treatment of transfusion-dependent conditions where iron chelation therapy is required, according to established criteria*, and when prescribed by a hematologist.	Initial request: 1 year Renewal request: 1 year

Practitioner exemptions

None

Special notes

None

Special Authority request form(s)

* Click on the Special Authority Form below for full criteria:

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5407 - Deferasirox Coverage - Initial and Renewal (PDF, 360KB)

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Limited coverage drugs – deferasirox

Practitioner exemptions

Special notes

Special Authority request form(s)