Form HLTH5393 Pharmacare Special Authority Request - Rituximab for Granulomatosis With Polyangiitis or Microscopic Polyangiitis - British Columbia, Canada

Form HLTH5393 Pharmacare Special Authority Request - Rituximab for Granulomatosis With Polyangiitis or Microscopic Polyangiitis - British Columbia, Canada

Form HLTH5393 Pharmacare Special Authority Request - Rituximab for Granulomatosis With Polyangiitis or Microscopic Polyangiitis is used in British Columbia, Canada to request special authority for the prescription drug Rituximab for the treatment of Granulomatosis With Polyangiitis or Microscopic Polyangiitis.

The Form HLTH5393 Pharmacare Special Authority Request for Rituximab in Granulomatosis with Polyangiitis or Microscopic Polyangiitis is typically filed by the patient's healthcare provider in British Columbia, Canada.

Form HLTH5393 Pharmacare Special Authority Request - Rituximab for Granulomatosis With Polyangiitis or Microscopic Polyangiitis - British Columbia, Canada - Frequently Asked Questions (FAQ)

Q: What is HLTH5393 Pharmacare Special Authority Request?
A:
HLTH5393 Pharmacare Special Authority Request is a form used in British Columbia, Canada to request special authorization for pharmacare coverage of rituximab for the treatment of Granulomatosis With Polyangiitis or Microscopic Polyangiitis.

Q: What is Rituximab?
A:
Rituximab is a medication used for the treatment of Granulomatosis With Polyangiitis or Microscopic Polyangiitis, which are autoimmune diseases affecting the blood vessels.

Q: What is Granulomatosis With Polyangiitis?
A:
Granulomatosis With Polyangiitis is a rare autoimmune disease that causes inflammation of the blood vessels, leading to damage in various organs.

Q: What is Microscopic Polyangiitis?
A:
Microscopic Polyangiitis is a rare autoimmune disease characterized by inflammation of the small blood vessels, leading to damage in multiple organs.

Q: Who can use the HLTH5393 form?
A:
The HLTH5393 form is used by patients in British Columbia, Canada who require pharmacare coverage for rituximab to treat Granulomatosis With Polyangiitis or Microscopic Polyangiitis.

Q: What is special authority?
A:
Special authority is a process by which certain medications or treatments are approved for coverage by the provincial health insurance plan based on specific criteria.

Q: Why do I need special authority for rituximab?
A:
Special authority for rituximab is required because it is an expensive medication that is typically reserved for patients who have not responded to other treatments or who have severe disease.

Q: How do I fill out the HLTH5393 form?
A:
The HLTH5393 form must be completed by your healthcare provider, who will provide the necessary information about your condition and treatment history.

Q: Is rituximab covered by pharmacare in British Columbia?
A:
Rituximab may be covered by pharmacare in British Columbia if special authority is granted based on the specific criteria outlined in the HLTH5393 form.

ADVERTISEMENT

Other Revision

Download Form HLTH5393 Pharmacare Special Authority Request - Rituximab for Granulomatosis With Polyangiitis or Microscopic Polyangiitis - British Columbia, Canada

4.5 of 5 (29 votes)
  • Form HLTH5393 Pharmacare Special Authority Request - Rituximab for Granulomatosis With Polyangiitis or Microscopic Polyangiitis - British Columbia, Canada

    1

  • Form HLTH5393 Pharmacare Special Authority Request - Rituximab for Granulomatosis With Polyangiitis or Microscopic Polyangiitis - British Columbia, Canada, Page 2

    2

  • Form HLTH5393 Pharmacare Special Authority Request - Rituximab for Granulomatosis With Polyangiitis or Microscopic Polyangiitis - British Columbia, Canada, Page 1
  • Form HLTH5393 Pharmacare Special Authority Request - Rituximab for Granulomatosis With Polyangiitis or Microscopic Polyangiitis - British Columbia, Canada, Page 2
Prev 1 2 Next
ADVERTISEMENT