Limited Coverage Drugs - Special Authority Criteria

Generic Name / Strength / Form
interferon-beta-1a

Criteria Approval Period
Treatment for relapsing/remitting Multiple Sclerosis as prescribed by a neurologist from one of the clinics noted below.

According to criteria established by the MS Expert Panel at the University of British Columbia.

 One Year

Practitioner Exemptions

  • No practitioner exemptions

Special Notes

  • Requests for coverage should be forwarded to the closest MS Clinic noted below:

    Location Address Fax
    Kelowna MS Clinic
    Satellite Clinic of UBC
    Kelowna General Hospital
    2268 Pandosy Street
    Kelowna, B.C. V1Y 1T2
    		(250) 862-4226
    Prince George MS Clinic
    Satellite Clinic of UBC
    Prince George Regional Hospital
    2000 15th Avenue
    Prince George, B.C. V2M 1S0
    		(250) 565-2662
    Vancouver Island MS Clinic
    Satellite Clinic of UBC
    1004 North Park Street
    Victoria, B.C. V8T 1C6
    		(250) 388-6438
    Fraser Health MS Clinic
    Burnaby Hospital
    3935 Kincaid Street
    Burnaby, B.C. V5G 2X6
    		(604) 412-6405
    MS Clinic - UBC
    UBC Hospital
    Rm G33-2211 Wesbrook Mall
    Vancouver, B.C. V6T 2B5
    		(604) 822-7362

Online Forms (PDF)
Click on the link to complete a special authority request form.