Limited Use Note(s) |
ACARBOSE100mg Tab
Reason For Use Code | Clinical Criteria |
---|---|
For the treatment of non-insulin-dependent diabetes mellitus (NIDDM): | |
175 | In 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 | |
176 | In patients who require combination therapy with more than one oral hypoglycemic agent to control their serum glucose concentrations. |
LU Authorization Period: Indefinite |