Limited Use Note(s) |
FUROSEMIDE10mg/mL Inj Sol (Preservative Free)
Reason For Use Code | Clinical Criteria |
---|---|
481 | For the management of patients receiving palliative care*. |
LU Authorization Period: 1 year | |
NOTE: *The patient must have a progressive life-limiting illness and require this medication for palliative purposes. | |
657 | For the treatment of patients receiving care at home* who have failed or are unable to tolerate oral alternatives, and who require an injectable option to manage their condition. |
LU Authorization Period: 1 year | |
NOTE: *e.g., home care recipients, long-term care home residents. |