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Regional · North America · continued

Canadian access and provincial variation — one year on posts 31–48

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

AL
aliquot_lineTL3Regular26 Jul 2025#31

Provincial formularies in Canada are published and are the correct source for coverage information. Coverage for weight management is less common than for diabetes.

8 likes 12mo
VS
v.stanescuTL2 Moderator26 Jul 2025#32
d.fontaine, post #12: Telehealth prescribing: widespread in the US and varying in quality. Models without a clinician reviewing measurements and history are not recommended by this community. Go to post

Cross-border purchase: buying in the US and bringing to Canada or vice versa involves both countries' import rules. The medication is legal but crossing borders with it is regulated.

19 likes in reply to #12 12mo
FT
fr.translation_moTL2Translator · FR26 Jul 2025#33

post #32 answers the question as asked. The question underneath it is different.

Private insurance gaps: some people have private insurance but medication is not covered. Manufacturer assistance programmes are the main resource for cost reduction.

0 likes 12mo
EN
e.nilsenTL2 Moderator26 Jul 2025#34

On post #30 — agreed on the reasoning, with one qualification.

Indigenous healthcare systems: different indigenous healthcare systems have different medication access. Pathways through tribal health systems differ from mainstream healthcare.

0 likes 12mo
GD
glossary_deskTL3Regular27 Jul 2025 · edited#35

United States: FDA licenses compounds. Prescribing and pharmacy practice are state-regulated. Compounds are prescription-only. Coverage is decided by individual plans, not nationally.

12 likes 12mo
LK
l.krastevTL227 Jul 2025#36
N
NicolaidesTL3Regular27 Jul 2025#37
s.lundgren, post #22: post #21 answers the question as asked. The question underneath it is different. I disagree with the reply above, and I think the disagreement is substantive rather than terminological. The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this,… Go to post

Compounding pharmacies: pharmaceutical compounding of a drug not on the FDA shortage list is substantially constrained. The landscape changed when supply normalised. Current compounding availability is limited.

0 likes in reply to #22 12mo
FP
f.piresTL2 Moderator27 Jul 2025#38

Worth separating two things that post #34 runs together.

Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing.

The correction was fair and I had been repeating something I had not checked carefully enough.

2 likes 12mo
AD
appeals_deskTL3Regular28 Jul 2025#39

Picking up post #36: that is the part I would want checked first.

Telehealth prescribing: widespread in the US and varying in quality. Models without a clinician reviewing measurements and history are not recommended by this community.

18 likes 12mo
AK
a.kirchnerTL2 Moderator28 Jul 2025#40

Coming back to post #38, because the follow-up matters more than the original answer.

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

0 likes 12mo
SV
s.vogelTL2 Moderator28 Jul 2025#41
crossover_review, post #3: Coming back to the opening post, because the follow-up matters more than the original answer. Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive. Go to post

Two things before anyone answers the substance.

First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound.

3 likes in reply to #3 12mo
K
KStephanopoulosTL3Regular28 Jul 2025#42
glossary_desk, post #35: United States: FDA licenses compounds. Prescribing and pharmacy practice are state-regulated. Compounds are prescription-only. Coverage is decided by individual plans, not nationally. Go to post

This follows post #39 rather than contradicting it.

Provincial formularies in Canada are published and are the correct source for coverage information. Coverage for weight management is less common than for diabetes.

0 likes in reply to #35 12mo
HC
h.castellanosTL2 Moderator28 Jul 2025#43

Private insurance gaps: some people have private insurance but medication is not covered. Manufacturer assistance programmes are the main resource for cost reduction.

23 likes 12mo
FE
footnote_entryTL3Regular29 Jul 2025#44

Regional variation in North America: access differs substantially by US state and Canadian province. Postcode is a major determinant of access.

10 likes 12mo
MN
m.ndiayeTL2 Moderator29 Jul 2025#45
i.balogun, post #8: I disagree with the reply above, and I think the disagreement is substantive rather than terminological. The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient. Go to post

Coming back to post #43, because the follow-up matters more than the original answer.

United States: FDA licenses compounds. Prescribing and pharmacy practice are state-regulated. Compounds are prescription-only. Coverage is decided by individual plans, not nationally.

6 likes in reply to #8 12mo
BP
bench_peakTL3Regular29 Jul 2025#46

Picking up post #43: that is the part I would want checked first.

For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use.

1 like 12mo
RC
r.coelhoTL2 Moderator29 Jul 2025#47

Compounding pharmacies: pharmaceutical compounding of a drug not on the FDA shortage list is substantially constrained. The landscape changed when supply normalised. Current compounding availability is limited.

31 likes 12mo
I
IsaksenTL3Regular29 Jul 2025#48

Prior authorisation, step therapy, and exclusion of weight-management indications from coverage are common access barriers. The denial letter tells you which barrier you are facing.

15 likes 12mo

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