help me understand Canada, I have read the wiki twice
The title is the whole question — help me understand Canada, I have read the wiki twice — but here is why I am asking. 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. Formulary criteria are revised, and plan renewal is a natural…
Provincial plan, employer plan, or paying cash?
a rejected claim is not the same as a denied authorization
Those criteria were revised at renewal, so the version quoted upthread is out of date.
I would not read one pharmacy’s cash price as the going rate. The spread is real.
That is an employer plan process, and the provincial route is different in both form and timeline.
Moved provinces and the coverage position changed completely. Same person, same history, different formulary.