ClaimSecure – provides on-line claims service for the adjudication and reimbursement of eligible drug expenses.
A broad range of prescription drugs are covered under the AFBS formulary, however, not all prescription drugs are covered. Also, certain drugs or categories of drugs may require a request for Special Authorization or coordination with your provincial drug plan. Typically, expensive new drugs providing minimal or no increased therapeutic value would not be added to the formulary.
Special Authorization may also be required in situations where the patient has not responded to first line therapies or where the drug may have potential for widespread use outside of approved use. From time to time new drugs are added to the Special Authorization register.
Special Authorization Process
The Special Authorization process includes the completion of a brief questionnaire by your Medical Doctor outlining the medical justification for the prescribed medication. The questionnaire is reviewed by the clinical pharmacists at ClaimSecure who have been contracted by AFBS to provide this service and who follow accepted medical and pharmacological protocols. Their review is done on a completely confidential basis.
You will be responsible for any costs your Medical Doctor may charge for the completion of the Special Authorization form. A generic Special Authorization form is included in the Forms section of the Writers’ Coalition Program website or by contacting the Writers’ Coalition Program administrator at AFBS.
Program Handbook > I – Prescription Drug Care > Special Authorization 