Limited Use Note(s)

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FLUNARIZINE HCL5mg Cap
Reason For Use CodeClinical 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