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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.

You can close this note from the top right corner.

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)
Jevity 1.0 Cal Oral Liquid	Adult	Regular Benefit - needs Prescription	Regular Benefit - needs Prescription	Regular Benefit - needs Prescription	Regular Benefit - needs Prescription	Regular Benefit - needs Prescription	Not Covered	Regular Benefit - needs Prescription	Limited Use (NIHB)
Jevity 1.2 Cal Oral Liquid	Adult, Oral	Special Authorization (RD)	Special Authorization (RD)	Special Authorization (RD)	Special Authorization (RD)	Special Authorization (RD)	Not Covered	Regular Benefit - needs Prescription	Not Covered
Jevity 1.5 Cal Oral Liquid	Adult	Special Authorization (RD)	Special Authorization (RD)	Special Authorization (RD)	Special Authorization (RD)	Special Authorization (RD)	Not Covered	Regular Benefit - needs Prescription	Limited Use (NIHB)
KetoCal 3:1	Pediatric, Adult	Not Covered	Not Covered	Not Covered	Not Covered	Regular Benefit - needs Prescription	Not Covered	Regular Benefit - needs Prescription	Not Covered
Ketocal 4:1 Liquid Unflavored	Pediatric, Adult, Oral	Special Authorization (RD)	Special Authorization (RD)	Special Authorization (RD)	Special Authorization (RD)	Special Authorization (RD)	Not Covered	Special Authorization (RD)	Limited Use (NIHB)
Ketocal 4:1 Liquid Vanilla	Pediatric, Adult, Oral	Not Covered	Not Covered	Not Covered	Not Covered	Regular Benefit - needs Prescription	Not Covered	Regular Benefit - needs Prescription	Not Covered
KetoVie 3:1 Unflavored	Pediatric, Adult, Oral	Special Authorization (RD)	Special Authorization (RD)	Special Authorization (RD)	Special Authorization (RD)	Special Authorization (RD)	Not Covered	Special Authorization (RD)	Limited Use (NIHB)
KetoVie 4:1 Plant-Based Vanilla	Pediatric, Adult, Oral	Special Authorization (RD)	Special Authorization (RD)	Special Authorization (RD)	Special Authorization (RD)	Regular Benefit - needs Prescription	Not Covered	Regular Benefit - needs Prescription	Not Covered
KetoVie 4:1 Vanilla	Pediatric, Adult, Oral	Special Authorization (RD)	Special Authorization (RD)	Special Authorization (RD)	Special Authorization (RD)	Regular Benefit - needs Prescription	Not Covered	Regular Benefit - needs Prescription	Not Covered
KetoVie Peptide 4:1	Infant, Pediatric, Oral	Special Authorization (RD)	Special Authorization (RD)	Special Authorization (RD)	Special Authorization (RD)	Special Authorization (RD)	Not Covered	Regular Benefit - needs Prescription	Not Covered

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