Drug Access Listing

250 mg PO / 500 mg PO

Multiple

Exceptional medication with recognized indications for payment

Eligibility1:

• For patients with mCRPC, in combination with prednisone

• Asymptomatic or mildly symptomatic after an anti-androgen treatment has failed, AND
• Never received docetaxel-based chemotherapy, AND
• ECOG PS is 0 or 1

• For patients with mCRPC, in combination with prednisone, AND

• Disease has progressed during or following docetaxel-based chemotherapy, unless there is a contraindication or a serious intolerance, AND
• ECOG PS is ≤ 2

Notes1:

• The maximum duration of each authorization is four months
• When requesting continuation of treatment, the physician must provide evidence of a beneficial clinical effect by the absence of disease progression
• It must be noted that abiraterone is not authorized after failure with an androgen synthesis inhibitor or a second-generation ARI if it was administered for treatment of prostate cancer
• Abiraterone remains covered by the basic prescription drug insurance plan for those insured persons having used this drug in the three months before 10 July 2019, insofar as the physician provides evidence of a beneficial clinical effect by the absence of disease progression.

1. RAMQ List of Medications [3-22]

Janssen (Janssen BioAdvance Patient Assistance Program): Access Here 
JAMP (JAMP Care): Access Here 
Sentrex Health Solutions: Access Here 
Pharma-science: Access Here 
Apotex: Access Here 
ApoAssist: Access Here 

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No listing as of Mar. 2022

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Janssen (Janssen BioAdvance Patient Assistance Program): Access Here 
JAMP (JAMP Care): Access Here 
Sentrex Health Solutions: Access Here 
Pharma-science: Access Here 
Apotex: Access Here 
ApoAssist: Access Here 

5 mg PO | 10 mg PO | 70 mg PO

Multiple

• Bone resorption inhibitor

1. RAMQ List of Medications [3-22]

Apotex: Access Here

Tablet, PO, 60mg, 240mg

02478374

Exceptional medication

Eligibility1:

Patients with nmCRPC

• At high risk of developing distant metastases (PSADT ≤ 10 months) despite an androgenic deprivation treatment, AND
• Whose ECOG PS is 0 or 1

Notes:

The maximum duration of each authorization is four months

When requesting continuation of treatment, the physician must provide evidence of a beneficial clinical effect defined by the absence of disease progression

**60 mg tablet funded, 240 mg tablet pending provincial funding decision

1. RAMQ List of Medications [3-22]

Janssen BioAdvance Patient Assistance Program: Access Here

Tablet, PO, 60mg, 240mg

02478374

Exceptional medication

Eligibility:

In association with ADT, for the treatment of mCSPC, in persons:

• Whose ECOG PS is 0 or 1, AND
  • Who have not received an ADT for > 3 years for a localized prostate cancer; OR
  • Who have not received an ADT for > 6 months for a metastatic prostate cancer

Notes:

The maximum duration of each authorization is four months

When requesting continuation of treatment, the physician must provide evidence of a beneficial clinical effect by the absence of disease progression.

Apalutamide is not authorized following failure with an androgen synthesis inhibitor or a second-generation ARI if they have been administered to treat prostate cancer

**60 mg tablet funded, 240 mg tablet pending provincial funding decision

1. RAMQ List of Medications [3-22]

Janssen BioAdvance Patient Assistance Program: Access Here

300 mg PO

02496348

Exceptional medication

Eligibility:

• For the treatment of nmCRPC, in persons:

• At high risk of developing distant metastases (PSADT ≤ 10 months) despite an androgenic deprivation treatment, AND
• ECOG PS is 0 or 1

Notes:

• The maximum duration of each authorization is four months.
• When requesting continuation of treatment, the physician must provide evidence of a beneficial clinical effect defined by the absence of disease progression.

1. RAMQ List of Medications [3-22]

NUBEQA® DART Patient Support Program: 

Toll free:  

1-833-955-3278 

Fax: 

1-877-208-4393 

Email: 

info@dartsupport.ca 

300 mg PO

02496348

Exceptional medication

Eligibility:

• In combination with docetaxel and androgen deprivation therapy (ADT) for the treatment of metastatic castration-sensitive prostate cancer in people:
  • Who have not received ADT for more than 6 months for the treatment of prostate cancer; and
  • Whose ECOG performance status is 0 or 1.
• Notes:
  • The maximum duration of each authorization is four months.
  • When requesting continuation of treatment, the physician must provide evidence of a beneficial clinical effect defined by the absence of disease progression.
  • It is worth noting that darolutamide is not authorized following the failure of an androgen synthesis inhibitor or a second-generation androgen receptor inhibitor if they have been administered for the treatment of prostate cancer.
• For the continuation of treatment of metastatic castration-sensitive prostate cancer, in persons having received a treatment associating darolutamide, an androgen deprivation therapy, and docetaxel in a hospital during 6 treatment cycles of 21 days or for whom docetaxel had to be stopped due to a serious intolerance.

RAMQ List of Medications

NUBEQA® DART Patient Support Program: 

Toll free:1-833-955-3278

Fax:1-877-208-4393 

Email: info@dartsupport.ca 

S.C. Inj. Sol. (syr) 60 mg/ml

02343541

Exceptional medication

Eligibility¹:

• Osteoporosis in men at high risk of fracture who cannot receive an oral bisphosphonate because of serious intolerance or a contraindication.

1. RAMQ List of Medications [3-22]

ProVital Program: Access Here

Inj. Sol. 120 mg /1.7mL

02368153

Exceptional medication

Eligibility¹:

• Prevention of bone events in persons suffering from mCRPC with at least one bone metastasis

1. RAMQ List of Medications [3-22]

The VICTORY Program: Access Here

40 mg PO

02407329

Exceptional medication

Eligibility1:

• For the treatment of mCRPC in persons:
  • Whose cancer progressed during or following docetaxel-based chemotherapy, unless there is a contraindication or serious intolerance, AND
  • ECOG PS is ≤ 2
• For the treatment of mCRPC in persons:
  • Who are Asymptomatic or mildly symptomatic after an anti-androgen treatment has failed, AND
    • Never received docetaxel-based chemotherapy, AND
    • ECOG PS is 0 or 1

Notes1:

• The maximum duration of each authorization is four months.
• When requesting continuation of treatment, the physician must provide evidence of a beneficial clinical effect by the absence of disease progression
• Enzalutamide is not authorized after failure with an androgen synthesis inhibitor or a second-generation ARI if it was administered for treatment of prostate cancer.

1. RAMQ List of Medications [3-22]

Xtandi Patient Assistance Program (XPAP): 

Patient Enrolment and Consent Form (English) 

Formulaire D’inscription et de Consentement du Patient (French) 

40 mg capsule

02407329

For treatment of non-metastatic castration-resistant prostate cancer, in persons: 

• exposed to a high risk of developing metastases despite an androgen deprivation treatment. High risk is defined by a prostate-specific antigen doubling time ≤ 10 months; 

and 

• whose ECOG performance status is 0 or 1. 

The maximum duration of each authorization is four months 

When requesting continuation of treatment, the physician must provide evidence of a beneficial clinical effect defined by the absence of disease progression 

RAMQ List of Exceptional Medications With Recognized Indications for Payment 

Xtandi Patient Assistance Program (XPAP): 

Patient Enrolment and Consent Form (English) 

Formulaire D’inscription et de Consentement du Patient (French) 

40 mg capsule

02407329

In association with an androgen deprivation therapy (ADT), for treatment of metastatic castration-sensitive prostate cancer, in persons whose ECOG performance status is 0 or 1: 

• who have not received an ADT for more than three years for the treatment of localized prostate cancer; 

or 

• who have not received an ADT for more than six months for the treatment of metastatic prostate cancer. 

The maximum duration of each authorization is four months. 

When requesting continuation of treatment, the physician must provide evidence of a beneficial clinical effect by the absence of disease progression. 

It must be noted that enzalutamide is not authorized following failure with an androgen synthesis inhibitor or a second-generation androgen receptor inhibitor if they have been administered to treat prostate cancer. 

RAMQ List of Exceptional Medications With Recognized Indications for Payment 

Xtandi Patient Assistance Program (XPAP): 

Patient Enrolment and Consent Form (English) 

Formulaire D’inscription et de Consentement du Patient (French) 

Dual-action tablet, PO/ Comprimé à double action, PO: 100mg niraparib/500mg abiraterone acetate

02538563

Pending provincial funding decision

N/A

Janssen BioAdvance Patient Assistance Program: Access Here

100 mg tab | 150 mg tab

100mg: 02475200 | 150mg: 02475219

Listed as of April 2022 

Recognized indication for payment 

• In monotherapy, for the treatment of metastatic castration-resistant prostate cancer in persons:   
  • with a germline or somatic BRCA mutation and 
  • whose disease progressed during or following treatment with a second-generation androgen receptor inhibitor or androgen synthesis inhibitor; and 
  • with an ECOG performance status of 0-2 

Each authorization is for a maximum period of 4 months. 

When requesting continuation of treatment, proof of a clinical benefit by the absence of disease progression must be provided. 

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AstraZeneca Patient Support Program: Access Here
AstraZeneca Patient Assistance Program: Access Here