[Meta] proposal — a flair for private plan posts
proposal — a flair for private plan posts. Disagreement welcome, but bring a concrete alternative wording.
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.
Employer-sponsored plans have their own criteria and appeal processes, independent of the provincial formulary. Which one applies determines everything about the route.
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.
Please do not ask me what dose you should be on. I genuinely do not know and neither does anyone else here.
best — the order this archive was captured in
National regulatory approval establishes that a product may be sold. Whether any plan pays for it is a separate decision, and public drug plans are administered provincially.
Pharmacy staff name removed. The pharmacy can stay in a pricing post.
Pharmacy staff name removed.
Adding the fastest step — ask the pharmacist. They can usually check in minutes.
compare cash prices before assuming coverage is the only path
compare cash prices before assuming coverage is the only path
isabela_guerrero is right that a rejected claim and a denied authorization are different animals.
Criteria changed at plan renewal and the denial that had been immovable simply did not apply any more.
Agreed. Province first — coverage is a provincial decision and national answers are wrong somewhere by construction.
- 1Pharmacy staff name removed. The pharmacy can stay in a pricing post.7 comments in this branch · started by u/lane_watcher