drugcoverage - Stelara - Janssen-Ortho Inc.

Medication Brand Name:

Stelara

Active Ingredient:

ustekinumab

DIN(s) in Canada:

02320673

francais

Manufacturer/Distributor:

Janssen-Ortho Inc.

DrugCoverage Category:

Skin Conditions/les problèmes de la peau

See Also:

Stelara is an eligible benefit through most private insurance plans, provincial/territorial drug benefit programs and federal drug plans. Summary information on coverage through the different plans is given below.

The SPECTRUM (1-877-705-0555) assistance program will investigate reimbursement options for patients who have been prescribed Stelara.

Coverage/Reimbursement by Private Insurance Plans in Canada
	Stelara is an eligible benefit through most private insurance plans (see product monograph for approved indications). Some plans may require special authorization / prior authorization before granting reimbursement. The SPECTRUM (1-877-705-0555) assistance program will investigate reimbursement options for patients who have been prescribed Stelara.

Coverage/Reimbursement by Canadian Provincial/Territorial Programs
Province	Coverage	Program / Eligibility Criteria
AB		Stelara is covered according to eligibility criteria by Alberta Health and Wellness through the Special Authorization mechanism.
BC		Stelara is covered according to eligibility criteria by BC Pharmacare's Special Authority Program.
MB		Stelara is currently under review by the provincial drug program.
NB		Stelara is covered according to eligibility criteria by the New Brunswick Prescription Drug Program (NBPDP) through the Special Authorization mechanism.
NL		Stelara is covered according to eligibility criteria by the Newfoundland and Labrador Prescription Drug Program's (NLPDP) Special Authorization provision.
NT		Stelara is covered by the Northwest Territories Health Benefits Program.
NS		Stelara is covered according to eligibility criteria by Nova Scotia Pharmacare through the Exception Drug Status (EDS) mechanism.
NU		Stelara is covered according to eligibility criteria by the Non-Insured Health Benefits (NIHB) Program.
ON		Stelara is currently under review by the provincial drug program.
PE		Stelara is currently under review by the provincial drug program.
QC		Stelara is covered according to eligibility criteria by the RAMQ and is on the liste de médicaments d'exception.
SK		Stelara is covered according to eligibility criteria by the Saskatchewan Health Drug Plan and Extended Benefits Branch under the Exception Drug Status Program.
YT		Stelara is currently under review by the territorial drug program.

Coverage/Reimbursement by Canadian Federal Plans
Plan	Coverage	Program / Eligibility Criteria
Non-Insured Health Benefits Program		Stelara is covered according to eligibility criteria by the NIHB
Public Service Health Care Plan		Stelara may be covered by the PSHCP
Veterans Affairs Canada		Stelara is currently under review by Veterans Affairs Canada
Canadian Forces Health Services		Stelara is currently under review by the Canadian Forces Health Services
Interim Federal Health Program		Stelara is currently under review by the Interim Federal Health Program