Special Authorization Request Form - Ticagrelor (Brilinta) - Newfoundland and Labrador, Canada

The Special Authorization Request form for Ticagrelor (Brilinta) in Newfoundland and Labrador, Canada is used to request approval for coverage of this medication under the provincial drug plan.

The special authorization request form for Ticagrelor (Brilinta) in Newfoundland and Labrador, Canada is typically filed by the prescribing healthcare provider or their office.

FAQ

Q: What is the Special Authorization Request Form for Ticagrelor?
A: The Special Authorization Request Form for Ticagrelor is a form used in Newfoundland and Labrador, Canada to request special authorization for the medication Brilinta (generic name Ticagrelor).

Q: Why is a special authorization required for Ticagrelor in Newfoundland and Labrador?
A: A special authorization is required for Ticagrelor in Newfoundland and Labrador to ensure that the medication is being used in appropriate situations and for patients who meet specific criteria.

Q: Who needs to submit the Special Authorization Request Form for Ticagrelor?
A: The Special Authorization Request Form for Ticagrelor needs to be submitted by healthcare providers who are prescribing the medication for their patients.