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c/glp1canada·submitted 1 year ago by u/aleksi_grimaldi

[Question] how do you actually verify special authorization

Questionbranch of 7 comments

how do you actually verify special authorization. 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 completely. Same person, same…

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7 comments, started 1 year ago
u/spreadsheet_gremlindata583 points·1 year 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/marit_coelho172 points·1 year ago

quantity limits are as common a barrier as coverage itself

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u/dose_diary_danalog keeper0 points·1 year ago

quantity limits are as common a barrier as coverage itself

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

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u/milos_vestergaard1 point·1 year ago

Yes. Cash prices vary and comparing them before assuming coverage is the only route is worth doing.

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u/ahmed_abubakar-27 points·1 year ago

the criteria change at plan renewal and nobody announces it

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u/isabela_guerrero1 point·1 year ago

Right, and the pharmacist can usually give a definite answer faster than a week of forum speculation.

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u/cesar_oyelaran81 points·1 year ago

quantity limits are as common a barrier as coverage itself

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

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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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