Drug coverage
Prior authorization
A requirement to get plan approval before filling a prescription, common for expensive or restricted drugs.
Commonly confused with
Special Authority, terms overlap; provinces use different names for similar steps.
The exact definition and rules can differ by program. Check the official rules for the benefit you are applying for.
Related terms
Drug coverage
Special Authority
Extra approval a prescriber must obtain before a public drug plan will pay for certain medications not routinely covered.
View termDrug coverage
Assistance-linked drug coverage
Prescription coverage provided automatically when you receive social assistance or some disability programs.
View termDrug coverage
Copayment
Your fixed share of a prescription cost at the pharmacy after the plan pays its portion.
View termDrug coverage
Cost sharing (drug plans)
The combination of deductibles, copayments, and premiums you pay while the plan pays the rest.
View termDrug coverage
Pharmacare deductible
The amount you pay out of pocket for eligible drugs each year before a public plan starts paying its share.
View term