[Question] how do you actually verify Canada
how do you actually verify Canada. 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.
Please do not ask me what dose you should be on. I genuinely do not know and neither does anyone else here.
best — the order this archive was captured in
Province added to the title. Coverage is provincial and the thread could not be answered without it.
special authorization forms are published, read them before applying
Small fix — that formulary position is another province’s and does not apply here.
Health Canada approval is not coverage
National regulatory approval establishes that a product may be sold. Whether any plan pays for it is a separate decision, and public drug plans are administered provincially.
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Compared cash prices across four pharmacies before pursuing coverage and the spread was larger than I expected.
keep every form, every date, every reference number
ask the pharmacy what the cash price is, it varies
National regulatory approval establishes that a product may be sold.
Adding the fastest step — ask the pharmacist. They can usually check in minutes.
Quantity limits restrict how much may be dispensed in a period even where coverage exists. They are a distinct barrier and require a distinct request.
Quantity limits restrict how much may be dispensed in a period even where coverage exists.
Disagreeing with this line: that is an employer plan process and the provincial one differs.
- 1National regulatory approval establishes that a product may be sold. Whether…8 comments in this branch · started by u/liv_dumitru