She Will Amaze You

I just finally got all the information together to register for Fair Pharmacare, to find out that I'm already registered...? I am POSITIVE I never registered, which is bizarre. But, we already are registered. I guess that is good.

Our deductible for coverage is $1200. TWELVE HUNDRED DOLLARS!! And they only cover 70%. That's ridiculous. Who just randomly has that much money?!

So, Somatropin, the growth hormome therapy is a Special Authority drug. Off the PharmaCare website it says:

Drugs requiring "Special Authority" coverage

A Special Authority grants full benefit status to a medication that would otherwise be a partial benefit or a limited coverage drug. All requests for Special Authority coverage must be submitted by your health care practitioner.

Special Authorities are normally granted for a specific drug for an individual patient. In some cases, a Special Authority exemption may be granted to a physician or a physician specialty group Exemptions provide coverage of a specific drug for all patients of a physician or specialty group.

Actual coverage is based on your usual PharmaCare plan rules, including any deductible requirement. If you receive Special Authority coverage for a drug, it may still be subject to the rules of the Low Cost Alternative Drug Program, Reference Drug Program and the PharmaCare Maximum Days' Supply and Maximum Pricing Policy still apply.

Special Authority coverage begins the day the information is entered into PharmaNet, the B.C. computer network that links all BC pharmacies to a central set of databases. Depending on the individual drug, Special Authority coverage may be for a limited time (for example, six months) or be indefinite.

To be eligible for coverage, Special Authority must be in place before you purchase a drug. Coverage cannot be provided retroactively.

The following categories of drugs require Special Authority approval before the prescription is purchased.

• Limited Coverage Drugs All Limited Coverage Drugs require Special Authority approval.
• Reference Drugs If you cannot take the reference product, your health care practitioner can request coverage of another drug.
• Low Cost Alternatives If you cannot take a lower cost alternative, your health practitioner can request coverage of another drug for you.
• No-Charge Psychiatric Medication Plan Some medications require Special Authority approval to be covered under this plan.
• Alzheimer's Drug Therapy Initiative PharmaCare is accepting requests for coverage of certain medications used to treat mild to moderate dementia.

» To find out if your drug requires Special Authority, use our online Formulary Search.

So... Then I looked up Special Authority on Health Canada. Read carefully:

Limited Coverage Drugs - Special Authority Criteria

Generic Name / Strength / Form

somatropin

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.	One Year

Practitioner Exemptions

• No practitioner exemptions

Special Notes

• Not a benefit for the treatment of adults or for the treatment of children with Turner's Syndrome, Prader-Willi Syndrome or Noonan's Syndrome.

Fan-freaking-tastic. NOT A BENEFIT.... The girl NEEDS growth hormone, and it's not a fucking benefit.

So now what? Ellie still needs to pass her sleep study. And, part of me is wondering if I can ask for her to be re-tested, because I don't understand how she can possibly produce enough GH, when she's dropped from 10th %ile to 0.1%ile in length. I don't understand.