Limited Use Note(s) |
LEVODOPA & CARBIDOPA100mg & 25mg CR Tab
Reason For Use Code | Clinical Criteria |
---|---|
64 | For patients with Parkinson's disease who have been treated with conventional therapy (Prolopa or conventional Sinemet), and experienced adverse effects related to drug level fluctuations, such as ON/OFF or wearing off phenomena. |
LU Authorization Period: Indefinite | |
65 | For patients presently requiring anti-parkinsonian drug administration (levodopa/carbidopa) more than three times daily. |
LU Authorization Period: Indefinite |