unpopular opinion: most of what gets said here about Canada is guesswork
Thinking out loud about this: unpopular opinion: most of what gets said here about Canada is guesswork. 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. Nothing here is medical or legal advice. The…
Yes. Cash prices vary and comparing them before assuming coverage is the only route is worth doing.
ask the pharmacy what the cash price is, it varies
Employer-sponsored plans have their own criteria and appeal processes, independent of the provincial formulary. Which one applies determines everything about the route.
the exception drug status route exists in several provinces
Small fix — that formulary position is another province’s and does not apply here.
formulary decisions are provincial, so the province is the first fact