Our provincial government is funding Neocate for out-of-hospital use. We're
hoping to encourage them to re-write the policy to include a trial of donor
milk where appropriate, with funding if it works. Any evidence/advice on
moving this forward?

Coverage criteria:

SPECIAL AUTHORIZATION

"For the dietary management of infants with:
-cow milk protein allergy OR
-soy protein allergy OR
-multiple food protein intolerance OR
-conditions where an amino acid-based diet is indicated:
-short bowel syndrome
-gastroesophageal reflux disease (GERD)
-eosinophilic esophagitis (EoE)
-malabsorption.

AND

Who have failed or are intolerant to an appropriate trial (1 to 2 week
trial is recommended) of an extensively hydrolyzed infant formula."

This product must be prescribed by or in consultation with a general
pediatrician, neonatologist or pediatric gastroenterologist.

Special authorization may be granted for a maximum of 24 months."

(Refer to Criteria for Special Authorization of Select Drug Products in the
Alberta Human Services Drug Benefit Supplement for eligibility in Alberta
Human Services clients.)

ALBERTA HUMAN SERVICES SPECIAL AUTHORIZATION

"For use in patients who are unable to tolerate, have failed, or have
nutritional requirements which cannot be met with the infant formulas which
are unrestricted benefits (listed in PTC 40:20 of the Alberta Human
Services Drug Benefit Supplement). Information is required regarding the
patient's diagnosis, previous infant formulas utilized and the patient's
response to therapy, and/or the nutritional requirement which cannot be met
with other infant formulas."

https://idbl.ab.bluecross.ca/idbl/lookupCoverageCriteria.do?productID=0000056204&priceListID=0014

Jodine Chase
Edmonton, Alberta, Canada

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