LANTHANUM TAB,CHEWABLE Generic Name LANTHANUM TAB Brand Names FOSRENOL, LANTHANUM CARBONATE Drug Class ELECTROLYTES/MINERALS,COMBINATIONS Formulary Status Prior Auth Required Formulary with prior authorization Copay Tier 2 Last Updated June 1, 2023 Clinical Criteria Summary Inclusion CriteriaProvider is a VA / VA Community Care NephrologistPatient has an inadequate response or intolerance to sevelamer carbonate tablets Source Documents Download CFU PDF: Lanthanum Carbonate Chewable Tablets Criteria Jun 2023