This version of the form is not currently in use and is provided for reference only. Download this version of Form HLTH5822 for the current year.
Form HLTH5822 Pharmacare Special Authority Request - Fremanezumab is a document used in British Columbia, Canada to request special authority for pharmacare coverage of the medication Fremanezumab. This form is typically used when a patient's healthcare provider believes that the medication is necessary but may not be covered under the regular pharmacare program.
The Form HLTH5822 Pharmacare Special Authority Request - Fremanezumab in British Columbia, Canada is typically filed by healthcare providers on behalf of their patients.
Q: What is the HLTH5822 Pharmacare Special Authority Request?
A: HLTH5822 Pharmacare Special Authority Request is a form used in British Columbia, Canada to request special authority for the medication Fremanezumab.
Q: What is Fremanezumab?
A: Fremanezumab is a medication used to prevent migraines in adults.
Q: Who can use the HLTH5822 Pharmacare Special Authority Request?
A: The HLTH5822 Pharmacare Special Authority Request can be used by residents of British Columbia, Canada.
Q: What is special authority?
A: Special authority is a process through which medications not typically covered by insurance can be approved for coverage based on specific criteria.
Q: Why would someone need to request special authority for Fremanezumab?
A: Someone would need to request special authority for Fremanezumab if it is not covered by their insurance plan and they meet the specific criteria for coverage set by the government.
Q: What information is required on the HLTH5822 Pharmacare Special Authority Request?
A: The form requires information such as the patient's personal details, medical history, prescriber information, and supporting documentation.
Q: What happens after submitting the HLTH5822 Pharmacare Special Authority Request?
A: After submitting the form, it will be reviewed by the government's Pharmacare program to determine if special authority for Fremanezumab will be granted.
Q: Is there a fee associated with submitting the HLTH5822 Pharmacare Special Authority Request?
A: No, there is no fee associated with submitting the HLTH5822 Pharmacare Special Authority Request form in British Columbia, Canada.
Q: Are there any other medications that require special authority?
A: Yes, there are several medications that require special authority in British Columbia, Canada. Each medication has its own specific request form.