Medication
|
Benefit Category
|
Details
|
Link
|
| Abilify (aripiprazole) |
Special Authority
|
Patient specific diagnosis identified as Schizophrenia or other psychosis (not dementia related)
AND
Treatment failure or intolerance to at least one other specified anti-psychotic agent
|
https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/pharmacare/prescribers/limited-coverage-drug-program/limited-coverage-drugs-aripiprazole |
| Abilify Maintena (aripiprazole LAI) |
Special Authority
|
Management of the manifestations of schizophrenia or related psychotic disorders (not dementia-related) in:
- Patients who have tried oral aripiprazole, risperidone or paliperidone
PLUS
at least one other antipsychotic agent
PLUS
continue to be inadequately controlled at maximally-tolerated doses
OR
- Patients who are currently receiving a conventional depot antipsychotic
PLUS
experiencing significant side effects such as extrapyramidal symptoms or tardive dyskinesia
OR
- Patients with a history of non-adherence to antipsychotic medications resulting in important negative outcomes such as repeated hospitalizations
|
https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/pharmacare/prescribers/limited-coverage-drug-program/limited-coverage-drugs-aripiprazole-monohydrate |
| Clozaril (clozapine) |
General Benefit |
Covered by Plans F, C, G, B, W, I |
https://pharmacareformularysearch.gov.bc.ca/Search.xhtml |
| Invega (paliperidone) |
General Benefit |
Covered by Plans I, W, F, B, C, G, P |
https://pharmacareformularysearch.gov.bc.ca/Search.xhtml |
| Invega Sustenna (paliperidone palmitate) |
Special Authority |
Management of the manifestations of schizophrenia or related psychotic disorders (not dementia-related) in:
- patients who have tried oral paliperidone, aripiprazole or risperidone and at least one other antipsychotic agent
AND
whose condition continues to be inadequately controlled at maximally tolerated doses
OR
- patients who are currently receiving a conventional depot antipsychotic
AND
are experiencing significant side effects such as extrapyramidal symptoms or tardive dyskinesia.
OR
- patients with a history of non-adherence to antipsychotic medication resulting in negative outcomes such as repeated hospitalizations
|
https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/pharmacare/prescribers/limited-coverage-drug-program/limited-coverage-drugs-paliperidone-palmitate |
| Invega Trinza (paliperidone palmitate) |
Special Authority
|
Management of the manifestations of schizophrenia or related psychotic disorders (not dementia-related) in:
- patients who have tried oral paliperidone, aripiprazole or risperidone and at least one other antipsychotic agent
AND
whose condition continues to be inadequately controlled at maximally tolerated doses
OR
- patients who are currently receiving a conventional depot antipsychotic
AND
are experiencing significant side effects such as extrapyramidal symptoms or tardive dyskinesia.
OR
- patients with a history of non-adherence to antipsychotic medication resulting in negative outcomes such as repeated hospitalizations
|
https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/pharmacare/prescribers/limited-coverage-drug-program/limited-coverage-drugs-paliperidone-palmitate |
| Latuda (lurasidone) |
Not a benefit |
|
https://pharmacareformularysearch.gov.bc.ca/Search.xhtml |
| Rexulti (brexpiprazole) |
Special Authority |
Patient specific diagnosis identified as Schizophrenia or other psychosis (not dementia related)
AND
Treatment failure or intolerance to at least one other specified anti-psychotic agent
|
https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/pharmacare/prescribers/limited-coverage-drug-program/limited-coverage-drugs-brexpiprazole |
| Risperdal (risperidone) |
General Benefit |
Covered by Plans W, I, G, B, F, C, P |
https://pharmacareformularysearch.gov.bc.ca/Search.xhtml |
| Risperdal Consta (risperidone LAI) |
Special Authority |
For managing the manifestations of schizophrenia or related psychotic disorders (not dementia-related) in:
- patients who have tried oral risperidone, aripiprazole, or paliperidone PLUS at least one other antipsychotic agent AND continue to be inadequately controlled at maximally tolerated doses
OR
- patients who are currently receiving a conventional depot antipsychotic PLUS are experiencing significant side effects such as extrapyramidal symptoms or tardive dyskinesia
OR
- patients with a history of non-adherence to antipsychotic medications resulting in important negative outcomes such as repeated hospitalizations
|
https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/pharmacare/prescribers/limited-coverage-drug-program/limited-coverage-drugs-risperidone-microspheres |
| Saphris (asenapine) |
Special Authority
*Not covered for treatment of schizophrenia |
Diagnosis of Bipolar I disorder
AND
Treatment failure or intolerance to lithium, carbamazepine or divalproex sodium
AND
Treatment failure to at least one other anti-psychotic agent
|
https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/pharmacare/prescribers/limited-coverage-drug-program/limited-coverage-drugs-asenapine |
| Seroquel (quetiapine) |
General Benefit |
Covered by Plans G, B, W, I, P, C, F |
https://pharmacareformularysearch.gov.bc.ca/Search.xhtml |
| Zeldox (ziprasidone) |
Special Authority
|
Diagnosis of schizophrenia or other psychosis (not dementia-related)
AND
Treatment failure or intolerance to at least one other anti-psychotic agent.
|
https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/pharmacare/prescribers/limited-coverage-drug-program/limited-coverage-drugs-ziprasidone |
| Zyprexa (olanzapine) |
Special Authority |
1. Patient specific diagnosis identified as Schizophrenia or other psychosis (not dementia related)
AND
Treatment failure or intolerance to at least one other specified anti-psychotic agent.
AND / OR
2. Diagnosis of Bipolar I disorder
AND
Treatment failure or intolerance to lithium, carbamazepine or divalproex sodium
AND
Treatment failure or intolerance to at least one other specified anti-psychotic agent. |
https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/pharmacare/prescribers/limited-coverage-drug-program/limited-coverage-drugs-olanzapine |
| Zyprexa IM (olanzapine injection) |
Not a benefit |
|
|
| Clopixol (zuclopenthixol) |
General Benefit |
Covered by Plans W, F, I, P, B, C, G |
https://pharmacareformularysearch.gov.bc.ca/Search.xhtml |
| Fluanxol (flupentixol) |
General Benefit |
Covered by Plans B, W, F, C, I, G |
https://pharmacareformularysearch.gov.bc.ca/Search.xhtml |
| Modecate (fluphenazine) |
General Benefit |
Covered by Plans W, G, C, B, I, F |
https://pharmacareformularysearch.gov.bc.ca/Search.xhtml |
| Haldol (haloperidol) |
General Benefit |
Covered by Plans I, F, C, W, P, B, G |
https://pharmacareformularysearch.gov.bc.ca/Search.xhtml |
| Largactil (chlorpromazine) |
General Benefit |
Covered by Plans |
https://pharmacareformularysearch.gov.bc.ca/Search.xhtml |
| Loxapac (loxapine) |
General Benefit |
Covered by Plans G, I, B, C, P, W, F |
https://pharmacareformularysearch.gov.bc.ca/Search.xhtml |
| Majeptil (thioproperazine) |
Not a benefit |
|
|
| Navane (thiothixene) |
Not a benefit |
|
|
| Neuleptil (periciazine) |
General Benefit |
Covered by Plans C, W, F, I, G, B, P |
https://pharmacareformularysearch.gov.bc.ca/Search.xhtml |
| Nozinan (methotrimeprazine) |
General Benefit |
Covered by Plans W, C, I, B, F, P |
https://pharmacareformularysearch.gov.bc.ca/Search.xhtml |
| Orap (pimozide) |
General Benefit |
Covered by Plans W, G, C, F, P, I |
https://pharmacareformularysearch.gov.bc.ca/Search.xhtml |
| Stelazine (trifluoperazine) |
General Benefit |
Covered by Plans G, W, C, F, B, I |
https://pharmacareformularysearch.gov.bc.ca/Search.xhtml |
| Stemetil (prochlorperazine) |
General Benefit |
Covered by Plans W, P, I, F, B, C |
https://pharmacareformularysearch.gov.bc.ca/Search.xhtml |
| Trilafon (perphenazine) |
General Benefit |
Covered by Plans F, G, B, I, C, W |
https://pharmacareformularysearch.gov.bc.ca/Search.xhtml |