Limited Use Note(s)

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Reason For Use CodeClinical Criteria
For the treatment of non-insulin-dependent diabetes mellitus (NIDDM):
175In patients who cannot tolerate or have failed treatment with other oral hypoglycemic agents or in whom other oral hypoglycemic agents are contraindicated;
LU Authorization Period: Indefinite.
176In patients who require combination therapy with more than one oral hypoglycemic agent to control their serum glucose concentrations.
LU Authorization Period: Indefinite.