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Covered by Exception:
* Special Authorization Form Completed by Registered Dietitian (AB Government Programs)
** Needs Registered Dietitian Recommendation or Physician Prescription (NIHB)

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


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)
Peptamen Intense Pediatric, Adult, Oral Not Covered Not Covered Not Covered Not Covered Covered By Exception * Not Covered Covered By Exception * Covered By Exception **
Peptamen Junior 1.0 Pediatric, Oral Covered By Exception * Covered By Exception * Covered By Exception * Covered By Exception * Covered By Exception * Not Covered Covered By Exception * Covered By Exception **
Peptamen Junior 1.5 Pediatric, Oral Covered By Exception * Covered By Exception * Covered By Exception * Covered By Exception * Covered By Exception * Not Covered Covered By Exception * Covered By Exception **
Pregestimil - Powder Infant Covered By Exception * Covered By Exception * Covered By Exception * Covered By Exception * Covered By Exception * Not Covered Covered By Exception * Covered By Exception **
Puramino A+ Junior Oral Powder Pediatric Covered By Exception * Covered By Exception * Covered By Exception * Covered By Exception * Covered By Exception * Not Covered Covered By Exception * Covered By Exception **
Puramino A+ Oral Powder Infant Covered By Exception * Covered By Exception * Covered By Exception * Covered By Exception * Covered By Exception * Covered By Exception * Covered By Exception * Covered By Exception **
RCF - liquid concentrate Infant, Pediatric, Oral Not Covered Not Covered Not Covered Not Covered Covered By Exception * Not Covered Covered By Exception * Covered By Exception **
Resource 2.0 Adult, Oral Covered Covered Covered Covered Covered By Exception * Not Covered Covered By Exception * Covered By Exception **
Resource Diabetic Adult Covered Covered Covered Covered Covered By Exception * Not Covered Covered By Exception * Covered By Exception **
Resource Kid Essential 1.5 Pediatric, Oral Covered Covered Covered Covered Covered By Exception * Not Covered Covered By Exception * Covered By Exception **