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c/glp1canada·posted 7 months ago by u/draw_up_dizzy

genuine question about private plan that I am slightly embarrassed to ask

Question The Quiet One ×8

genuine question about private plan that I am slightly embarrassed to ask. If this has been answered properly somewhere, link me and I will delete.

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

Moved provinces and the coverage position changed completely. Same person, same history, different formulary.

Spent three weeks on what turned out to be a quantity limit rather than a coverage question.

Tell me where this is wrong. That is the useful part of posting it.

4,406 up / 3,845 down53% upvoted20 commentsid g23ryw26 Dec 2025

20 comments

20 in this archive, depth 5

best — the order this archive was captured in

u/anya_antonsen63 points·7 months ago

Special authorization is a documented exception process with published criteria. Applications that answer those criteria explicitly, point by point, fare better than general clinical narratives.

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[deleted]45 points·7 months ago

[deleted]

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u/draw_up_dizzyOP33 points·7 months ago

Provincial plan, employer plan, or paying cash?

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u/isabela_guerrero9 points·7 months ago

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

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u/draw_up_dizzyOP13 points·7 months ago

Have you asked the pharmacist to check?

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u/draw_up_dizzyOP5 points·7 months ago

Correcting myself: it was a quantity limit rather than a denial, which changes the whole process.

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u/the_poster_in_question_202651 points·7 months ago

Health Canada approval is not coverage

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u/the_poster_in_question_202648 points·7 months ago

What did the denial actually say?

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u/cesar_oyelaran16 points·7 months ago

What did the denial actually say?

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

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u/camila_mensa5 points·7 months ago

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

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u/sequence_checkerresearch peptides31 points·7 months ago

Was this a denied authorization or a rejected claim?

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u/cagrilintide_enthusiast19 points·7 months ago·edited

Was this a denied authorization or a rejected claim?

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

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u/anders_karlsen17 points·7 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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u/the_poster_in_question_20268 points·7 months ago

Is there a quantity limit involved rather than a coverage refusal?

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u/declared_value_dv3 points·7 months ago

Is there a quantity limit involved rather than a coverage refusal?

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

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u/zeynep_duarte1 point·7 months ago·edited

Adding the fastest step — ask the pharmacist.

Disagreeing with this line: that is an employer plan process and the provincial one differs.

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u/search_before_post1 point·7 months ago

Disagreeing with this line: that is an employer plan process and the provincial one differs.

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

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u/karim_ilunga14 points·7 months ago

Criteria changed at plan renewal and the denial that had been immovable simply did not apply any more.

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u/careful_gradient324 points·7 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/egfr_watcher-4 points·7 months ago

private plans and provincial plans are different fights entirely

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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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