Comment
Author: Admin | 2025-04-28
Prior approval is required up to the maximum price and quantity limits. Providers may bill up to 100 grams every 30 days. Requests for additional ingredients or to exceed the price or quantity limit can be considered on a case-by-case basis and require prior approval. 3.4.4.1 Table 5: NIHB coverage of compounded topical non-steroidal anti-inflammatories Eligible transdermal bases Eligible topical non-steroidal anti-inflammatory powders Other eligible ingredients Topical NSAID in transdermal base Maximum billing quantity: 100 grams per 30 days Price limit: actual acquisition cost up to $0.55 per gram (except Quebec) Transdermal base (for example, Diffusimax, PLO gel, Foamaderm, others) Eligible NSAID powders 1 of: diclofenac or ketoprofen in a concentration of 3% - 10% Other eligible ingredients Menthol* Camphor* *no minimum concentration required Transdermal lidocaine W/NSAID Maximum billing quantity: 100 grams per 30 days Price limit: actual acquisition cost up to $0.55 per gram (except Quebec) Transdermal base (for example, Diffusimax, PLO gel, Foamaderm, others) Eligible NSAID powders 1 of: diclofenac or ketoprofen in a concentration of 3% - 10% Plus: lidocaine powder Other eligible ingredients Menthol* Camphor* *no minimum concentration required 3.4.5 Extemporaneous mixtures: List of ineligible ingredients and products impotence drugs (for example, Caverject) hair growth stimulants (for example, minoxidil in topical preparations) homeopathic preparations investigational or experimental products lidocaine 5% ointment natural health products unless an item is specified as a listed benefit pre-made parenteral infusion bags where no alterations are required to the product prior to administration products used for cosmetic purposes products which recreate commercial products that are available in the same strength unless there is a shortage or back-order of these products. (see section 3.4.1.2 Back-order products and extemporaneous mixtures) reconstitution of a dry powder oral preparation with distilled water in accordance with its product monograph reconstitution of non-sterile commercially available products such as BenzaClin reimbursement for non-essential, non-medicinal ingredients (exception: flavourings and sweeteners are reimbursed for children 18 years of age or younger) reimbursement for flavourings or sweeteners added to commercially available products reimbursement for supplies used in the process of compounding (for example, alcohol wipes, syringes, needles and papers) reimbursement for
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