The maximum amount payable to an eligible brand name drug will be limited to the lowest priced item in the appropriate generic category.
Smoking Cessation products legally requiring a prescription to a maximum of $500 per benefits year.
Vaccinations are covered for a maximum of $150 per benefit year. Administration costs associated with providing the injection are not covered.
The Prescription Drug coverage is coordinated with the Saskatchewan Special Support Program, students must register for this plan.
Drug Exception Process
If the medications covered by your insurance do not work for your condition, or if an effective drug is not covered, there is a special process to request exceptions.
Download and complete the Drug Exception Request Form to request coverage of a drug that is not automatically covered under the drug plan, ask your doctor to complete the physician information section and submit your request to be considered for a drug exception.
To be considered for a drug exception, you must have tried at least one medication on your student health plan.
Prior-Authorization Drug Claims
Some prescription drugs require prior authorization before reimbursement is considered. You must submit a form to get prior authorization. Once prior authorization has been confirmed by the prescription search tool, you must complete this form with your doctor and submit it. Find a Prior Authorization Form and provide the following information to access the portal: Carrier # 34, Group #: 177841.
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