How am I notified of the decisions regarding exception status drugs?
You will be notified by a letter if the request for an exception status drug is approved. You may bring this letter to the pharmacy to verify that coverage has been approved or the pharmacist may simply bill the claim online for immediate response. The prescriber is notified if coverage is authorized, if the request does not meet the criteria, or if more information is required.
Related Questions
- What is an exception status drug and do you have a process to consider paying for drugs not listed as a benefit in the Nova Scotia Formulary?
- I understand the pharmacist can bill Pharmacare for certain exception status drugs without a request form or letter from the physician?
- How does the "logical follow-on" exception apply when an 8(a) company has graduated from its 8(a) status?
