Limited Use Note(s) |
|
FLUNARIZINE HCL5mg Cap
| Reason For Use Code | Clinical Criteria |
|---|---|
| 60 | For patients with migraine headaches who have not responded to propranolol. |
| LU Authorization Period: 1 year | |
| 61 | For patients who have tried propranolol and experienced significant adverse effects. |
| LU Authorization Period: 1 year | |
| 62 | For patients in whom propranolol is contraindicated. |
| CAUTION: Contraindicated in patients with clinical depression and in patients with extrapyramidal disorders. | |
| LU Authorization Period: 1 year |