drugcoverage - Velcade - Janssen-Ortho Inc.

Medication Brand Name:

Velcade

Active Ingredient:

bortezomib

DIN(s) in Canada:

02262452

francais

Manufacturer/Distributor:

Janssen-Ortho Inc.

DrugCoverage Category:

Cancer

See Also:

For hospital administered medications, like Velcade, the provincial cancer agencies or hospitals generally provide coverage. Velcade is covered by all provincial cancer agencies according to eligibility criteria. Your private insurance may be a source of reimbursement for publicly unfunded medications administered in the hospital or at a private infusion clinic.

Coverage/Reimbursement by Canadian Provincial/Territorial Programs
Province	Coverage	Program / Eligibility Criteria
AB		Velcade is covered according to eligibility criteria by the Alberta Cancer Board.
BC		Velcade is covered according to eligibility criteria through the BC Cancer Agency.
MB		Velcade is covered according to eligibility criteria by Cancer Care Manitoba.
NB		Velcade is covered according to eligibility criteria by individual New Brunswick hospitals.
NL		Velcade is covered according to eligibility criteria by individual Newfoundland and Labrador hospitals.
NT		Velcade is covered according to eligibility criteria determined by individual hospitals treating cancer patients.
NS		Velcade is covered according to eligibility criteria by Cancer Care Nova Scotia.
NU		Velcade is covered according to eligibility criteria determined by individual hospitals treating cancer patients.
ON		Velcade is covered according to eligibility criteria by Cancer Care Ontario.
PE		Velcade is covered according to eligibility criteria determined by individual PEI hospitals.
QC		Velcade is listed in Quebec on the Liste de medicaments- Etablissments and is covered by individual hospitals for patients based on specified patient criteria.
SK		Velcade is covered according to eligibility criteria by The Saskatchewan Cancer Agency on a case-by-case basis.
YT		Velcade is covered according to eligibility criteria determined by individual hospitals delivering cancer treatment to Yukon residents.

Coverage/Reimbursement by Private Insurance Plans in Canada

Velcade is an eligible benefit through some private insurance plans.You will need to call your insurance company with your benefit plan or policy number to ask whether Velcade (Drug Identification Number DIN 02262452) is covered by your plan. If the plan covers Velcade your physician will likely need to make a special authorization / prior authorization request before the insurance company will consider reimbursement for Velcade. This request is made in the form of a letter which gives details of your condition, prior treatment and the reason you need Velcade therapy. Some insurance plans do not cover Velcade as it may not be on the formulary of drug benefits offered by the plan. Appeals for coverage of a medication as an exception to the drug plan may be made by contacting the Human Resources manager at the employer who provides the plan.

Coverage/Reimbursement by Canadian Federal Plans
Plan	Coverage	Program / Eligibility Criteria
Public Services Health Care Plan		Velcade may be covered by the PSHCP
Non-Insured Health Benefits Program		Velcade is not currently on the NIHB Drug Benefit List.
Veterans Affairs Canada		Velcade is not currently covered by Veterans Affairs Canada
Canadian Forces Health Services		Velcade is not currently covered by the CFHS
Interim Federal Health Program		Velcade is may be covered with prior approval by the IFHP