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, 15 mg / cartridges cartridges
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 younger, when:

  • prescribed by an endocrinologist at the British Columbia Children's Hospital for true growth hormone deficiency, OR 
  • prescribed by a nephrologist for chronic renal insufficiency.
Up to the patient's 21st birthday                                                                                       

Practitioner Exemptions

  • None

Special Notes

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

Special Authority Request Form(s)