A Veteran who was experiencing a decline in her pensioned health condition contacted us for help getting access to a much-needed medication. The Veteran had been receiving a specific drug treatment aimed at managing her serious condition.
When her health began to deteriorate, her doctor prescribed a new drug to be taken in combination with her previous treatment to help stabilize the situation, but VAC denied this drug request despite supporting medical documentation from a specialist.
Unable to pay out of pocket for the medication and facing the prospect of worsening health during the lengthy appeals process, the Veteran expressed her concerns to our office.
In an early intervention, the OVO contacted VAC’s Program Management team and asked them to review the request on a priority basis. In consultation with Health Professionals, the VAC team approved the new drug therapy and notified the client, who was then able to receive the treatment she needed.