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The DBL, DBS and related publications require knowledgeable interpretation and are intended primarily for professional health care practitioners, pharmacies, hospitals and organizations associated with the manufacture, distribution and use of pharmaceutical preparations.Electronic versions of all DBL and DBS related publications are unofficial versions and are provided for convenience and private use only. Reference Drug Program (RDP) drugs: PharmaCare fully covers only the less costly drugs in an Reference Drug Program category. criteria for special authorization of select drug products alberta drug benefit list update empagliflozin 10 mg oral tablet 25 mg oral tablet 00002443937 00002443945 jardiance jardiance boe boe 2.6726 2.6726 unit of issue - refer to price policy 1 effective january 1, 2019 $ $ 3 . Special authorization request forms are completed by physicians and reviewed by clinical pharmacists. Beneficiaries who choose higher cost alternatives are responsible for paying the difference in price.The maximum allowable cost (MAC) is the maximum amount Alberta’s supplementary health plans will pay for a specific drug product within a grouping of therapeutically equivalent drug products, and are subject to Get more information about these drug groupings and MAC pricing on the Alberta's drug review process is described in detail in Section 1 of the Alberta Drug Benefit List.Alberta's Expert Committee on Drug Evaluation and Therapeutics (ECDET) also reviews drug products and provides advice and recommendations to the Minister of Health concerning the therapeutic value and cost-effectiveness of the drugs.The Minister of Health makes the final decisions on the changes to the If there is a need to reconsider drugs not initially approved through the drug review process, the Ministry of Health has a process where drugs not listed through the CEDAC and ECDET review processes may be reconsidered for coverage, known as  The DBL, DBS and related publications require knowledgeable interpretation and are intended primarily for professional health care practitioners, pharmacies, hospitals and organizations associated with the manufacture, distribution and use of pharmaceutical preparations.Electronic versions of all DBL and DBS related publications are unofficial versions and are provided for convenience and private use only. The DBL is updated regularly and published regularly. To make a claim for expenses covered under your Extended Health Care option (excluding expenses for Emergency Medical Travel), complete the required form and return it, along with original receipts, to the ARTA Retiree Benefits Plan administrator: Alberta School Employee Benefit Plan (ASEBP). A prescription from a licensed practitioner is required for any listed drug to be processed as a benefit. Changes to the Alberta Drug Benefit List March 21, 2014. All limited coverage drugs require Special Authority approval. To return to the printable Drug Benefit List and related publications, To return to the printable Drug Benefit List and related publications, The Drug Benefit List (DBL) is a listing of the drugs provided as benefits by the NIHB Program. CF Drug Benefit List: Quick Reference Guide (PDF, 179 Kb) CF Drug Benefit List - OTC: Quick Reference Guide (PDF, 150 Kb) If you cannot find the information you are looking for in this database or if you have additional questions, you may contact the Canadian Forces Drug Exception Centre at 1-877-469-1003. Special Authorization Forms Forms for ... To return to the printable Drug Benefit List and related publications, click here. Official paper versions can be obtained from Alberta Health reserves the right to make changes, without notice, to the List through the If you cannot take the less costly, fully covered drug for medical reasons, talk to your prescriber. To return to the printable Drug Benefit List and related publications,

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