References and Attestation Letters for Broad Coverage Claims
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We're interested in developing a single printed APS that can promote updated public coverage (a new patient population) in different provinces. The intent is to use a broad message of "covered in DiseaseX in your province" (without specifying the province), and only disseminate the APS in provinces for which the coverage update has been confirmed and published. This is similar PAAB forum topic 196 (https://forum.paab.ca/topic/196). Due to financial constraints, we are unable to make a different APS for each province (10 different APSs).
We expect online formularies for various provinces to publish criteria much later than the actual formulary listing. Therefore, we will likely need to use an attestation letter as our reference for the formulary criteria + listings.
My questions are:
A) For our initial submission, do we still have to provide the anticipated public coverage criteria for each province in which the APS will be disseminated?
B) For final approval, do we still need to provide the confirmed public coverage for each province in which the APS will be disseminated? Our concern is that this delays the piece for provinces that get the updated coverage earlier.Thank you in advance!