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c/glp1canada·submitted 3 months ago by u/greta_perrin

[PSA] private plan is not what most of this community thinks it is

Formularybranch of 8 comments

Putting this at the top of the board where it belongs: private plan is not what most of this community thinks it is. The three separate questions people ask here as though they were one. Is it approved for sale — a national regulatory question with one answer. Is it covered — a provincial or private-plan question…

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This branch

8 comments, started 3 months ago
u/cagrilintide_enthusiast51 points·3 months ago

the criteria change at plan renewal and nobody announces it

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u/nikhil_asante18 points·3 months ago

That is an employer plan process, and the provincial route is different in both form and timeline.

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u/sequence_checkerresearch peptides6 points·3 months ago

That is an employer plan process, and the provincial route is different in both form and timeline.

Adding the fastest step — ask the pharmacist. They can usually check in minutes.

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u/draw_up_dizzy12 points·3 months ago

the criteria change at plan renewal and nobody announces it

Agreed — write the application against the published criteria rather than around them.

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u/greta_perrinOP-10 points·3 months ago

Has your plan renewed since the last time you applied?

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[removed]1 point·3 months ago

[removed by moderator]

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u/greta_perrinOP31 points·3 months ago

employer plans have their own criteria and their own appeals

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u/liv_dumitru19 points·3 months ago

employer plans have their own criteria and their own appeals

This is why every thread here needs a province in it.

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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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