Ireland: Canada, and what it actually costs here
Ireland: Canada, and what it actually costs here — a position I have arrived at slowly and would like tested. The pharmacist sorted in five minutes what the phone line had not managed in a fortnight. Kept every form and reference number. When they had no record of a submission, I did. Criteria changed at plan renewal…
A rejected claim at the pharmacy counter and a denied authorization are different events with different remedies. The first can be an administrative or quantity issue; the second is a determination you can appeal.
That is an employer plan process, and the provincial route is different in both form and timeline.
That is an employer plan process, and the provincial route is different in both form and timeline.
omar_eriksen is right that a rejected claim and a denied authorization are different animals.
Moved provinces and the coverage position changed completely. Same person, same history, different formulary.
Read the special authorization criteria and wrote the application against them line by line. Approved first time after a previous refusal.
the exception drug status route exists in several provinces
This. The special authorization form is published and reading it before applying changes the outcome.