someone explain special authorization to me like I have not read a paper in years
someone explain special authorization to me like I have not read a paper in years, and I want the answer with the reasoning attached rather than just the conclusion. The three separate questions people ask here as though they were one. Is it approved for sale — a national regulatory question with one answer. Is it…
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.
Confused a rejected claim with a denied authorization for a month and pursued entirely the wrong process.
private plans and provincial plans are different fights entirely
Compared cash prices across four pharmacies before pursuing coverage and the spread was larger than I expected.
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Correction: that is regulatory approval, not coverage. They are separate decisions by separate bodies.
Have you asked the pharmacist to check?
Small fix — that formulary position is another province’s and does not apply here.