What is an exception status drug and do you have a process to consider paying for drugs not listed as a benefit in the Nova Scotia Formulary?
Certain drugs are only eligible for coverage under the Pharmacare Programs when an individual meets criteria developed by the Atlantic and Canadian Expert Advisory Committees. These drugs are called “exception status drugs”. Click here to view what drugs have exception status criteria (PDF). The request forms are available to download or from the Pharmacare office. To request coverage, the prescriber should mail or fax the completed form or letter to the Pharmacare office. Prescribers may also contact the Pharmacare office and speak directly to a pharmacist consultant to request coverage.
Related Questions
- I understand the pharmacist can bill Pharmacare for certain exception status drugs without a request form or letter from the physician?
- Once an exception status drug is approved, can the pharmacy bill Pharmacare for the cost of the medication?
- What is the Preferred Drug List (PDL) status of mental health drugs?
