Form HLTH5395 Pharmacare Special Authority Request - Ticagrelor - British Columbia, Canada

Form HLTH5395 Pharmacare Special Authority Request - Ticagrelor is a document used in British Columbia, Canada to request special authorization for the use of the medication Ticagrelor under the Pharmacare program. This form is used when individuals require access to Ticagrelor for specific medical reasons that may not be covered under standard Pharmacare coverage.

The form HLTH5395 Pharmacare Special Authority Request - Ticagrelor - British Columbia, Canada is typically filed by healthcare providers or physicians on behalf of their patients.

FAQ

Q: What is the HLTH5395 Pharmacare Special Authority Request?
A: HLTH5395 is a request form for special authority to receive coverage for the medication Ticagrelor in British Columbia, Canada.

Q: What is Ticagrelor?
A: Ticagrelor is a medication used to prevent blood clots in people with acute coronary syndrome or a history of heart attack.

Q: Who can use the HLTH5395 form?
A: The form is for residents of British Columbia, Canada who require Ticagrelor and need assistance with coverage from the Pharmacare program.

Q: What is the purpose of the special authority request?
A: The special authority request is used to determine if a person is eligible for coverage for Ticagrelor under the Pharmacare program.

Q: Are there any eligibility criteria for coverage?
A: Yes, there are specific criteria that must be met to be eligible for coverage, including medical guidelines and income criteria.

Q: How long does it take to process the special authority request?
A: The processing time for the special authority request can vary, but it typically takes a few weeks to receive a decision.

Q: Is there a cost associated with the special authority request?
A: There is no cost to submit the special authority request, but there may be costs associated with the medication Ticagrelor, depending on coverage.