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)
Peptamen Junior 1.5 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)
Pregestimil - Powder Infant Not Covered Not Covered Not Covered Not Covered Regular Benefit - needs Prescription Not Covered Regular Benefit - needs Prescription Limited Use (NIHB)
Puramino A+ Junior Oral Powder Infant, Pediatric Special Authorization (MD Only) Special Authorization (MD Only) Special Authorization (MD Only) Special Authorization (MD Only) Regular Benefit - needs Prescription Not Covered Regular Benefit - needs Prescription Limited Use (NIHB)
Puramino A+ Oral Powder Infant Special Authorization (MD Only) Special Authorization (MD Only) Special Authorization (MD Only) Special Authorization (MD Only) Regular Benefit - needs Prescription Special Authorization (MD Only) Regular Benefit - needs Prescription Limited Use (NIHB)
RCF - liquid concentrate Infant, Pediatric, Oral Not Covered Not Covered Not Covered Not Covered Regular Benefit - needs Prescription Not Covered Regular Benefit - needs Prescription Not Covered
Resource 2.0 Oral Liquid Adult, 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)
Resource Adult Prisma 2.0 Vanilla Portion Adult, Oral Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered Not Covered
Resource Diabetic Pediatric, Adult, Oral Regular Benefit - needs Prescription Regular Benefit - needs Prescription Regular Benefit - needs Prescription Regular Benefit - needs Prescription Special Authorization (RD) Regular Benefit - needs Prescription Regular Benefit - needs Prescription Limited Use (NIHB)
Resource Kid Essential 1.5 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)
Similac Alimentum Liquid Infant, Oral Regular Benefit - needs Prescription Regular Benefit - needs Prescription Regular Benefit - needs Prescription Regular Benefit - needs Prescription Special Authorization (RD) Not Covered Special Authorization (RD) Limited Use (NIHB)