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c/glp1canada·posted 4 months ago by u/piotr_nascimento

[Question] Canada — has anyone got a straight answer on special authorization

Question Receipts ×9

Canada — has anyone got a straight answer on special authorization. Searched first, found three threads that contradict each other, hence the post.

Kept every form and reference number. When they had no record of a submission, I did.

The pharmacist sorted in five minutes what the phone line had not managed in a fortnight.

Compared cash prices across four pharmacies before pursuing coverage and the spread was larger than I expected.

If two or three other people have done the same thing we might actually learn something. Alone it is an anecdote.

456 up / 136 down77% upvoted28 commentsid 1geqvc20 Mar 2026

28 comments

22 in this archive, depth 5

best — the order this archive was captured in

u/spreadsheet_gremlindata23 points·4 months ago

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.

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[deleted]9 points·4 months ago

[deleted]

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u/cold_chromatogram3 points·4 months ago

formulary decisions are provincial, so the province is the first fact

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u/ayesha_erdogan4 points·4 months ago

Cosigning on quantity limits. They stop as many people as outright denials do and get discussed far less.

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u/cagrilintide_enthusiast1 point·4 months ago

Same view — private and provincial plans are genuinely different processes with different appeal routes.

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u/zaid_grimaldi19 points·4 months ago

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.

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u/hedda_aguirre7 points·4 months ago

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

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u/isabela_guerrero5 points·4 months ago

Agreed. Province first — coverage is a provincial decision and national answers are wrong somewhere by construction.

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u/ayesha_radich2 points·4 months ago

Agreed.

Agreed — write the application against the published criteria rather than around them.

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u/piotr_nascimentoOP1 point·4 months ago

keep every form, every date, every reference number

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u/ravi_bergstrom4 points·4 months ago

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

hedda_aguirre is right that a rejected claim and a denied authorization are different animals.

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u/kian_balogun6 points·4 months ago

Health Canada approval is not coverage

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u/ayesha_radich5 points·4 months ago

Agreed on keeping every form and date. When something goes wrong the paper trail is the whole case.

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u/piotr_nascimentoOP4 points·4 months ago

Small fix — that formulary position is another province’s and does not apply here.

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u/hair_shed_hannah2 points·4 months ago·edited

This. The special authorization form is published and reading it before applying changes the outcome.

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u/erez_baptista21 points·4 months ago

Formulary criteria are revised, and plan renewal is a natural point at which a previously refused request may succeed without anything about the applicant changing.

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u/cagrilintide_enthusiast10 points·4 months ago

special authorization forms are published, read them before applying

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u/diego_almeida14 points·4 months ago

Read the special authorization criteria and wrote the application against them line by line. Approved first time after a previous refusal.

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u/karim_ilunga0 points·4 months ago

Read the special authorization criteria and wrote the application against them line by line.

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

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u/draw_up_dizzy8 points·4 months ago

Yes. Approval and coverage are separate, and this board conflates them in about half its threads.

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u/piotr_nascimentoOP4 points·4 months ago

Have you asked the pharmacist to check?

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u/milos_vestergaard5 points·4 months ago

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

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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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