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    Coverage

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    Coverage details


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Coverage

Patient: John Doe

DIN Drug name Chemical name Strength Dosage Quantity
02244016 REMICADE 100MG/VIAL INJ INFLIXIMAB 100MG INJ 4

Coverage amount (as of September 04, 2015 in Ontario)

  • Your plan covers
    $0.00
  • You pay
    $4,681.78

Prior authorization required

Prior Authorization is required under your drug plan before this drug can be considered for reimbursement. To confirm if you qualify print and complete the Prior Authorization form.

Prior authorization required

Prior Authorization is required under your drug plan before this drug can be considered for reimbursement. To confirm if you qualify, complete the Prior Authorization form.

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Explanation of coverage for REMICADE 100MG/VIAL INJ

  • Plan design limits would result in no amount being payable

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Quantity

The default quantity is based on pharmacy prescribing practices in the province. By scrolling down, you can change the quantity to get updated results.

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Lower cost alternative

Drug that is deemed a therapeutic equivalent at a lower cost. This is typically a generic drug.

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To be eligible for reimbursement, the Massage Therapist must be registered and licensed to practice in the province in which treatment was provided. The Massage Therapist's professional designation and license number are required as part of the online claim submission. This information is usually provided on your receipt or is available from your Massage Therapist.

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