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.
