Limited Use Note(s)

ALFUZOSIN HYDROCHLORIDE10mg Prolong-Rel Tab
Reason For Use CodeClinical Criteria
351For the management of benign prostatic hyperplasia where six weeks of treatment with other formulary alpha blockers (e.g. doxazosin, terazosin, tamsulosin) have been ineffective.
LU Authorization Period: Indefinite.
352For the management of benign prostatic hyperplasia where other formulary alpha blockers (e.g. doxazosin, terazosin, tamsulosin) have produced intolerable side effects.
LU Authorization Period: Indefinite.