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c/glp1canada·submitted 6 months ago by u/solene_eriksen

someone explain Canada to me like I have not read a paper in years

Pricingbranch of 7 comments

Slightly embarrassed to be asking this, but: someone explain Canada to me like I have not read a paper in years. Confused a rejected claim with a denied authorization for a month and pursued entirely the wrong process. Cash pricing, which people skip because they assume coverage is the only route. Prices at the…

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7 comments, started 6 months ago
u/declared_value_dv12 points·6 months ago

Nothing here is medical or legal advice. The pharmacist and the prescriber are the people who can act, and both are faster than a forum.

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u/rania_diallo8 points·6 months ago

Correction: that is regulatory approval, not coverage. They are separate decisions by separate bodies.

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u/hedda_aguirre4 points·6 months ago

Correction: that is regulatory approval, not coverage.

Disagreeing with this line: that is an employer plan process and the provincial one differs.

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u/egfr_watcher4 points·6 months ago

I would not read one pharmacy’s cash price as the going rate. The spread is real.

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[deleted]1 point·6 months ago

[deleted]

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u/solene_eriksen1 point·6 months ago·edited

Same view — private and provincial plans are genuinely different processes with different appeal routes.

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u/sigrid_kaufmann1 point·6 months ago

compare cash prices before assuming coverage is the only path

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Canadian access: provincial formulary differences, private plan coverage, the special-authorisation process, cross-border pricing arbitrage and why the Ontario answer is not the Alberta answer.

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