Limited Coverage Drug (LCD) Program

Limited coverage drugs are not generally considered to be first-line therapies or there are more cost-effective alternatives.

To be eligible for coverage of these drugs, the patient must meet criteria pre-defined by PharmaCare. Actual coverage depends on rules of the patient's PharmaCare plan, including any annual deductible requirement.

Without SA approval Not covered
With SA Approval Full benefit

Limited coverage drugs—with links to the criteria for coverage and forms—are available in the drug list.

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