PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
the document
for the current year.
Special Authorization Request - Nintedanib / Pirfenidone - Prince Edward Island, Canada
A Special Authorization Request for Nintedanib/Pirfenidone in Prince Edward Island, Canada is a request for approval to cover the cost of these medications for treatment of certain lung diseases.
In Prince Edward Island, Canada, the Special AuthorizationRequest for Nintedanib/Pirfenidone is typically filed by the prescribing healthcare provider or their representative.
FAQ
Q: What is a Special Authorization Request?
A: A Special Authorization Request is a request made to the provincial government for coverage of a medication that may not be included in the regular drug formulary.
Q: What is Nintedanib/Pirfenidone?
A: Nintedanib/Pirfenidone is a medication used for the treatment of idiopathic pulmonary fibrosis (a lung disease) in adults.
Q: Why would I need a Special Authorization Request for Nintedanib/Pirfenidone?
A: You would need a Special Authorization Request because Nintedanib/Pirfenidone may not be automatically covered by your provincial drug plan.
Q: How do I make a Special Authorization Request for Nintedanib/Pirfenidone?
A: To make a Special Authorization Request, you would need to consult with your healthcare provider who can help you fill out the necessary forms and submit the request to the provincial government.
Q: Is there a cost associated with a Special Authorization Request?
A: There may be a cost associated with a Special Authorization Request, such as an application fee or a co-payment for the medication.
Q: Is Nintedanib/Pirfenidone covered by private insurance?
A: Coverage for Nintedanib/Pirfenidone may vary depending on your private insurance plan. It is best to check with your insurance provider to determine coverage.
