PEAS | Formula Coverage

In Alberta, there are many programs funded through the Government of Alberta. Below, you will find a search tool to help you determine which formulas may be covered by these programs. All programs have specific eligibility criteria which your Social Worker can assist you with.

This list is not a complete list of all formulas available by manufacturers.

Additional Notes on Drug Benefit List: Many of the programs funded through the Government of Alberta (which includes Blue Cross Non-Group Coverage) rely on the Interactive Drug Benefit List to determine which medications (including formula, supplements and special diets) are covered. Some items are covered, but require special authorization. The "coverage status" column will tell you if a particular product is covered, not covered, or requires special authorization from a healthcare professional.

You can close this note from the top right corner.

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 Fibre 1.5 Oral Liquid	Adult	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	Covered By Exception *	Covered By Exception *	Covered By Exception *	Covered By Exception *	Covered By Exception *	Not Covered	Covered By Exception *	Covered By Exception **
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 *	Covered By Exception **
Ketocal Oral Liquid	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 Oral Powder	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 Oral Powder	Pediatric	Not Covered	Not Covered	Not Covered	Not Covered	Not Covered	Not Covered	Not Covered	Not Covered
KetoVie 3:1 Oral Liquid	Oral	Covered By Exception *	Covered By Exception *	Covered By Exception *	Covered By Exception *	Covered By Exception *	Not Covered	Covered By Exception *	Covered By Exception **
KetoVie 4:1 Oral Liquid	Oral	Covered By Exception *	Covered By Exception *	Covered By Exception *	Covered By Exception *	Covered By Exception *	Not Covered	Covered By Exception *	Covered By Exception **
MCT Oil Oral Liquid	Modules	Covered By Exception *	Covered By Exception *	Covered By Exception *	Covered By Exception *	Covered By Exception *	Not Covered	Covered By Exception *	Covered By Exception **

Formula Coverage

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