How the Alberta Drug Benefit List treats Ozempic
The Alberta Drug Benefit List (DBL) is the list of drugs Alberta’s government-sponsored plans pay for. Alberta Blue Cross runs the list for the province. Semaglutide sits in the special authorization section, in a group with DPP-4 and SGLT2 medications, and uses a shared request form.
Special authorization means the plan approves the drug for you before it pays. The criteria are on the form and in DBL Section 3, and they refer to a trial of metformin first. Criteria change, so confirm the current version with your prescriber.
How the request works
Your prescriber submits the form to Alberta Blue Cross. Blue Cross assesses it against the criteria. That differs from Ontario, where the prescriber writes a code on the prescription, and from BC, where requests go through an online PharmaCare form.
We haven’t confirmed processing times, so ask your prescriber’s office how long approvals have been taking.
Non-group plans and private insurance
Alberta Blue Cross also sells non-group plans to individuals, and employers buy group plans from several insurers. These plans write their own rules for semaglutide, and many ask for special authorization. We haven’t read those plan documents, so we can’t say whether they pay for Ozempic. Ask the insurer by phone and write down the answer.
Pharmacy prices and prescribing in Alberta
Without a plan paying, you pay the pharmacy’s quote: drug cost, markup and dispensing fee. We haven’t checked Alberta pharmacy prices or fee practices for Ozempic yet. Request the pen price and the fee separately.
We haven’t confirmed the current scope of Alberta pharmacist prescribing for GLP-1s or renewals. Ask your pharmacist what they will do for a GLP-1 prescription.
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