PEAS | Formula Coverage

In Alberta, several government-funded programs may help cover the cost of formula. Use the Formula Coverage Search Tool below to check which formulas may be eligible.

Important Notes About Formula Coverage:

This is not a complete list of all formulas available from manufacturers.
Not all products are covered by government programs.
Many Alberta government-funded programs (including Blue Cross Non-Group Coverage) use the Interactive Drug Benefit List to decide which formulas, supplements, and special diets are eligible for coverage.

Coverage types:

Regular Benefit: Require a prescription.
Special Authorization: Requires a prescription and a completed Special Authorization form (available online for prescribers.
Limited Use: Available through NIHB with a Registered Dietitian recommendation or Physician prescription. The Limited Use form is faxed directly to the requester for submission.

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Search by Formula Name

Formula	Formula Category	AISH (Assured Income for the Severely Handicapped)	Income Support	Alberta Child Health Benefits	Alberta Adult Health Benefits	Children's Services	Alberta Blue Cross Non-Group Coverage	Interim Federal Health Program for refugees (IFHP)	Non-Insured Health Benefits (NIHB)
Isosource fiber 1.2 Ultra Pak	Adult	Not Covered	Not Covered	Not Covered	Not Covered	Covered By Exception *	Not Covered	Covered By Exception *	Covered By Exception **
Isosource Fibre 1.0 HP	Adult, Oral	Covered By Exception *	Covered By Exception *	Covered By Exception *	Covered By Exception *	Covered By Exception *	Not Covered	Covered By Exception *	Covered By Exception **
Isosource Fibre 1.2	Adult, Oral	Covered	Covered	Covered	Covered	Covered By Exception *	Not Covered	Covered By Exception *	Covered By Exception **
Isosource Fibre 1.5	Adult, Oral	Covered	Covered	Covered	Covered	Covered By Exception *	Not Covered	Covered By Exception *	Covered By Exception **
Jevity 1.0 Cal Oral Liquid	Adult	Covered	Covered	Covered	Covered	Covered By Exception *	Not Covered	Covered By Exception *	Covered By Exception **
Jevity 1.2 Cal Oral Liquid	Adult, Oral	Covered By Exception *	Covered By Exception *	Covered By Exception *	Covered By Exception *	Covered By Exception *	Not Covered	Covered By Exception *	Not Covered
Jevity 1.5 Cal Oral Liquid	Adult	Covered By Exception *	Covered By Exception *	Covered By Exception *	Covered By Exception *	Covered By Exception *	Not Covered	Covered By Exception *	Not Covered
KetoCal 3:1	Pediatric, Adult	Covered By Exception *	Covered By Exception *	Covered By Exception *	Covered By Exception *	Covered By Exception *	Not Covered	Covered By Exception *	Covered By Exception **
Ketocal 4:1 Liquid Unflavored	Pediatric, Adult, Oral	Covered By Exception *	Covered By Exception *	Covered By Exception *	Covered By Exception *	Covered By Exception *	Not Covered	Covered By Exception *	Covered By Exception **
Ketocal 4:1 Liquid Vanilla	Pediatric, Adult, Oral	Covered By Exception *	Covered By Exception *	Covered By Exception *	Covered By Exception *	Covered By Exception *	Not Covered	Covered By Exception *	Covered By Exception **

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Formula Coverage

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