Limited Coverage Drugs - Somatropin

Generic Name / Strength / Form

somatropin (Genotropin®) / 5.3 mg, 12 mg / pen (GoQuick™); 0.6 mg, 0.8 mg, 1.0 mg, 1.2 mg, 1.4 mg, 1.6 mg, 1.8 mg, 2.0 mg / syringe (MiniQuick™)

somatropin (Humatrope®) / 5 mg / vial; 6 mg, 12 mg, 24 mg / cartridges
somatropin (Nutropin AQ®) / 10 mg / cartridge (Pen®); 5mg, 10mg, 20mg / cartridge (NuSpin®)
somatropin (Omnitrope®) / 5 mg, 10 mg / vials
somatropin (Saizen®) / 3.33 mg, 5 mg / vials; 8.8 mg / vial (click.easy®); 6 mg, 12 mg, 20 mg / cartridges
somatropin (Norditropin NordiFlex®) / 5 mg, 10 mg and 15 mg / prefilled pen

 

Special Authority Criteria Approval Period
For children 20 years of age and under, when prescribed by an endocrinologist at the British Columbia Children's Hospital for true growth hormone deficiency or chronic renal insufficiency. Up to 21st birthday                                                                                       

Practitioner Exemptions

  • None

Special Notes

  • PharmaCare does not cover somatropin for the treatment of:
    • adults, or 
    • children with Noonan's Syndrome, Prader-Willi Syndrome, or Turner's Syndrome.

Special Authority Request Form(s)