genuine question about private plan that I am slightly embarrassed to ask
genuine question about private plan that I am slightly embarrassed to ask. If this has been answered properly somewhere, link me and I will delete. Compared cash prices across four pharmacies before pursuing coverage and the spread was larger than I expected. Moved provinces and the coverage position changed…
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.
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Provincial plan, employer plan, or paying cash?
Small fix — that formulary position is another province’s and does not apply here.
Have you asked the pharmacist to check?
Correcting myself: it was a quantity limit rather than a denial, which changes the whole process.
Health Canada approval is not coverage