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.