[Discussion] special authorization is doing more work than we give it credit for
Thinking out loud about this: special authorization is doing more work than we give it credit for. 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…
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.
What did the denial actually say?
Same view — private and provincial plans are genuinely different processes with different appeal routes.
the exception drug status route exists in several provinces
the pharmacist is often the fastest route to a definite answer
Yes. Cash prices vary and comparing them before assuming coverage is the only route is worth doing.