| 76 | For the treatment of patients with critical limb ischemia (with arterial ulcers, gangrene and/or rest pain) and documented arterial vascular disease. |
| | NOTE: Limited Use form must specify if arterial ulcers, gangrene and/or rest pain are present. |
| | LU Authorization Period: Indefinite |
| 529 | For the treatment of patients with venous ulcers lasting, or expected to last, more than 8 weeks.
Treatment should be discontinued after 3 months if there is no indication of objective benefit.
The duration of therapy with pentoxifylline should not exceed 12 months. |
| | NOTE: Pentoxifylline should be used in combination with compression therapy. |
| | LU Authorization Period: 1 year |
