Limited coverage drugs – fluconazole

Last updated on August 26, 2024

Special Authority requests can now be submitted online. It's simple and quick!

Generic name	Strength	Form
fluconazole oral	fluconazole oral	fluconazole oral

Special Authority criteria	Approval period
1. Immunocompromised patients. OR 2. Exceptions on an individual basis for fungal infections resistant to first-line medications.	One day to indefinite

Special Authority criteria

Approval period

1. Immunocompromised patients.

2. Exceptions on an individual basis for fungal infections resistant to first-line medications.

One day to indefinite

Practitioner exemptions

Physicians specializing in treatment of HIV/AIDS patients

Special notes

None

Special Authority request form(s)

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Online Forms (PDF, 523KB)

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Limited coverage drugs – fluconazole

Practitioner exemptions

Special notes

Special Authority request form(s)