Limited coverage drugs – dipyridamole-acetylsalicylic acid

Last updated on August 20, 2024

Generic name

dipyridamole-acetylsalicylic acid

Strength

dipyridamole + acetylsalicylic acid combination 200/25 mg
(there is 200 mg of dipyridamole and 25 mg of ASA)

Form

tablet

Special Authority criteria

Approval period

For secondary prevention of cerebrovascular occlusion and embolization in patients who have experienced recurrent TIA or stroke while receiving ASA alone.

Indefinite

Practitioner exemptions

  • None

Special notes

  • None

Special Authority request form(s)