how much of what we believe about formulary actually comes from special authorization threads
how much of what we believe about formulary actually comes from special authorization threads. Searched first, found three threads that contradict each other, hence the post.
Special authorization is a documented exception process with published criteria. Applications that answer those criteria explicitly, point by point, fare better than general clinical narratives.
How to write a special authorization request that gets approved.
Get the published criteria for your province. Answer them explicitly, in their own terms, in the same order. Attach what has been documented — what was tried, at what dose, for how long, with what outcome — as dates rather than narrative. Where a criterion cannot be met, have the prescriber say why in the criterion’s own language rather than around it.
Members here who have done this describe a much better hit rate than those who submitted a clinical letter that did not engage with the form. It is an administrative exercise, and treating it as one is the whole trick. None of which is advice — it is what the threads report.
Cash pricing, which people skip because they assume coverage is the only route.
Prices at the counter vary between pharmacies, sometimes substantially, in the same city. Members here have found spreads worth a real amount per month by ringing four places and asking for the cash price of a specific presentation.
That does not make coverage unimportant. It does mean that while an authorization is in process — which can take weeks — knowing the actual cash spread is worth half an hour of phone calls. Post what you find with the province and the month; the comparison threads here work for exactly the same reason the UK pricing tracker does.
Research-use-only material is not approved for human use and nothing here should be read as a recommendation to use it.
best — the order this archive was captured in
Employer-sponsored plans have their own criteria and appeal processes, independent of the provincial formulary. Which one applies determines everything about the route.
Same view — private and provincial plans are genuinely different processes with different appeal routes.
Correction: that is regulatory approval, not coverage. They are separate decisions by separate bodies.
private plans and provincial plans are different fights entirely
the same product can be covered in one province and not the next
I would not read one pharmacy’s cash price as the going rate. The spread is real.
Push back: approval by the national regulator says nothing about whether any plan will pay.
Right, and the pharmacist can usually give a definite answer faster than a week of forum speculation.
Confused a rejected claim with a denied authorization for a month and pursued entirely the wrong process.