VA CFU Criteria Formulary Advisor Reference
← Back to Drug List

LANTHANUM TAB,CHEWABLE

Generic Name
LANTHANUM TAB
Brand Names
FOSRENOL, LANTHANUM CARBONATE
Drug Class
ELECTROLYTES/MINERALS,COMBINATIONS
Formulary Status
PA-F
Copay Tier
2
Last Updated
2017-12-01

Clinical Criteria Summary

Inclusion Criteria

  • Provider is a VA / VA Community Care Nephrologist
  • Patient has an inadequate response or intolerance to sevelamer carbonate tablets

Source Documents

Download CFU PDF