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c/glp1canada·posted 4 days ago by u/careful_gradient32

[Private Plan] special authorisation approved on the second try

Private Plan

special authorisation approved on the second try. It is the sort of thing everyone half-believes and nobody writes down.

Kept every form and reference number. When they had no record of a submission, I did.

Confused a rejected claim with a denied authorization for a month and pursued entirely the wrong process.

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 covered — a provincial or private-plan question with many answers. Can I actually get this quantity dispensed — a quantity-limit question that is separate from coverage and stops as many people.

Say which of the three you are asking and name your province and plan type. Threads that do this get answered in two replies; threads that do not generate a page of people talking past each other, all of them correct about somewhere else.

Sceptical readings welcome. The confident ones are the ones I distrust.

453 up / 404 down53% upvoted14 commentsid zfz4wu26 Jul 2026

14 comments

14 in this archive, depth 4

best — the order this archive was captured in

u/diego_sorensen13 points·3 days ago

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.

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u/canada_coverageMOD7 points·2 days ago

Province added to the title. Coverage is provincial and the thread could not be answered without it.

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[deleted]5 points·2 days ago

[deleted]

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u/emil_barros15 points·3 days ago

keep every form, every date, every reference number

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u/ravi_bergstrom7 points·2 days ago·edited

Push back: approval by the national regulator says nothing about whether any plan will pay.

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u/paper_trail_paulavetting5 points·2 days 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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u/crosspost_bot_no8 points·2 days ago

Health Canada approval is not coverage

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u/search_before_post7 points·2 days ago

Careful, that criterion was updated at renewal and the version you are quoting is superseded.

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u/careful_gradient32OP3 points·2 days ago

quantity limits are as common a barrier as coverage itself

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u/kavya_kravchenko0 points·2 days ago

Employer-sponsored plans have their own criteria and appeal processes, independent of the provincial formulary. Which one applies determines everything about the route.

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u/solene_eriksen1 point·2 days ago

That is an employer plan process, and the provincial route is different in both form and timeline.

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u/piotr_nascimento5 points·3 days ago

Nothing here is medical or legal advice. The pharmacist and the prescriber are the people who can act, and both are faster than a forum.

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u/piotr_nascimento-11 points·3 days ago

formulary decisions are provincial, so the province is the first fact

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u/careful_gradient32OP1 point·3 days ago

formulary decisions are provincial, so the province is the first fact

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

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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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