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c/glp1canada·submitted 11 months ago by u/matias_salgado

special authorization is the most under-discussed thing on this board

Private Planbranch of 9 comments

special authorization is the most under-discussed thing on this board. I have gone back and forth on this for months. 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. National regulatory approval establishes that a…

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9 comments, started 11 months ago
u/canada_coverageMOD39 points·11 months ago

Plan and policy numbers redacted from the screenshot above.

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u/kian_ekstrom0 points·11 months ago

Plan and policy numbers redacted from the screenshot above.

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

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u/matias_salgadoOP1 point·11 months ago

Which province?

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u/kian_ekstrom1 point·11 months ago

I would not read one pharmacy’s cash price as the going rate. The spread is real.

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u/food_noise_gonemaintenance1 point·11 months ago·edited

Which province?

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

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u/milos_vestergaard0 points·11 months ago·edited

Correction: that is regulatory approval, not coverage. They are separate decisions by separate bodies.

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u/zaid_grimaldi1 point·11 months ago

Not convinced. A rejected claim at the counter is not a denied authorization and the next step differs.

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u/ayesha_erdogan-13 points·11 months ago

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

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u/ahmed_abubakar1 point·11 months ago

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

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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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