Limited Use Note(s) |
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ALFUZOSIN HYDROCHLORIDE10mg Prolong-Rel Tab
Reason For Use Code | Clinical Criteria |
---|---|
351 | For 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 | |
352 | For 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 |