Generic Name / Strength / Form

interferon-beta-1b

Criteria

Approval Period

1. 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. OR 2. Treatment of Secondary Progressive 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.

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