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Prescribers
Information on Special Authority Drugs
- Special Authority Forms
- What is a Special Authority?
- Limited Coverage Drugs—Limited Coverage drugs are not generally considered 'first line' therapies or have more cost-effective alternatives. For these drugs, PharmaCare Special Authority approval is required before the patient fills their prescription.
- Reference Drug Program—Under this program, full PharmaCare coverage is provided only to the identified reference drug. Other drugs within each category are eligible for partial coverage. If a patient has a medical condition preventing use of the reference drug, Special Authority can be requested for full coverage of another drug in the category.
- Low Cost Alternative Program—If several drugs have identical active ingredients, PharmaCare set a maximum price ("LCA Price") it will cover for that category of drug(s). Patients can obtain a fully covered low cost alternative or a drug that will be only partially covered. If a patient cannot take the low cost alternative(s), Special Authority can be requested for full coverage of another drug .
- No Charge Psychiatric Medication Plan—Some psychiatric drugs require Special Authority approval to be covered under this plan.
- Alzheimer's Drug Therapy Initiative—Information for Clinicians
Forms
Publications
PharmaNet
PharmaCare Drug Formulary Information
Annual Performance Reports
Studies and Reviews
Last Revised: July 03, 2008
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