DPP-4 / SGLT2 Inhibitors Special Authorization Request Form
Special authorization request form to be completed by your physician or diagnosing specialist.
Special authorization request form to be completed by your physician or diagnosing specialist.
The Pharmacare Formulary is a list of prescription medications and medical supplies approved for coverage through PEI Pharmacare.
The prescription medications and some diabetic supplies covered by PEI Pharmacare are identified on the PEI Pharmacare Formulary (search tool), including those that require special authorization. Medications must be dispensed at a PEI community pharmacy to be eligible for...
The prescription medications and diabetic supplies covered by PEI Pharmacare are listed here, including those requiring special authorization. The amount Pharmacare pays depends on drug program and Pharmacare reimbursement rules. The Formulary is continuously reviewed and updated...
Some drugs are made using living organisms or their cells. These drugs are called biologics. The first version of a biologic drug to be produced is called the originator or reference biologic. Biosimilars are highly similar versions of originator biologic drugs. They are produced when the patent expires on the originator biologic drug. Biosimilars are less expensive drugs that are reviewed by Health Canada to ensure they work in the same way as the originator biologic drugs and are equally effective. Through the PEI Biosimilar Initiative, coverage under PEI Pharmacare for certain biologic...
If the cost of your prescription medication is making it hard for you to pay other essential life expenses, you may qualify for coverage of certain medications through the Catastrophic Drug Program. Am I eligible? You and members of your household are eligible for the program if...
Some medications in the PEI Pharmacare Formulary are approved on a special authorization basis only. If your physician prescribes a drug in this category, you can submit a Standard Special Authorization Request form to have a medication considered for coverage.
If you are age 65 or older, you are eligible for coverage of the cost of approved medications through the Seniors’ Drug Program. Am I eligible? You are eligible for the program if you: are a PEI resident as defined by the Drug Cost Assistance Act; have a valid PEI Health Card...
If you are a resident in a private nursing home, you may be eligible for coverage of approved medication costs through the Nursing Home Drug Program. Am I eligible? You are eligible for the program if you: are a PEI resident as defined by the Drug Cost Assistance Act; have a...