Limited Use Note(s) |
|
ITRACONAZOLE10mg/mL Oral Sol
| Reason For Use Code | Clinical Criteria |
|---|---|
| 570 | For patients who are unable to swallow or tolerate solid oral dosage forms. |
| LU Authorization Period: 1 year |
Limited Use Note(s) |
|
| Reason For Use Code | Clinical Criteria |
|---|---|
| 570 | For patients who are unable to swallow or tolerate solid oral dosage forms. |
| LU Authorization Period: 1 year |