Formula Coverage

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Family Support for Children with Disabilities (FSCD) is contract based and subject to approval

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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)
Pediasure Plus with Fibre Oral Liquid Pediatric, Oral Special Authorization (RD) Special Authorization (RD) Special Authorization (RD) Special Authorization (RD) Regular Benefit - needs Prescription Not Covered Regular Benefit - needs Prescription Limited Use (NIHB)
Pediasure Vanilla Oral Liquid Pediatric, Oral 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)
Pediasure with Fibre Oral Liquid Pediatric, Oral 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)
Peptamen 1.0 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
Peptamen 1.0 with Prebio Adult, Oral Special Authorization (RD) Special Authorization (RD) Special Authorization (RD) Special Authorization (RD) Regular Benefit - needs Prescription Not Covered Regular Benefit - needs Prescription Limited Use (NIHB)
Peptamen 1.5 Adult, Oral Special Authorization (RD) Special Authorization (RD) Special Authorization (RD) Special Authorization (RD) Regular Benefit - needs Prescription Not Covered Regular Benefit - needs Prescription Limited Use (NIHB)
Peptamen 1.5 Vanilla Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered
Peptamen AF 1.2 Adult Special Authorization (RD) Special Authorization (RD) Special Authorization (RD) Special Authorization (RD) Regular Benefit - needs Prescription Not Covered Regular Benefit - needs Prescription Not Covered
Peptamen Intense Pediatric, Adult, Oral Not Covered Not Covered Not Covered Not Covered Regular Benefit - needs Prescription Not Covered Regular Benefit - needs Prescription Not Covered
Peptamen Junior 1.0 Pediatric, Oral Special Authorization (RD) Special Authorization (RD) Special Authorization (RD) Special Authorization (RD) Regular Benefit - needs Prescription Not Covered Regular Benefit - needs Prescription Limited Use (NIHB)