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. 2016 Oct 14;4(4):E605–E614. doi: 10.9778/cmajo.20160008

Table 2: Key eligibility criteria for reimbursement of simeprevir with peginterferon plus ribavirin for treatment of hepatitis C virus infection, by jurisdiction.

Jurisdiction Restriction
Minimum fibrosis stage required Substance use HIV coinfection Prescriber Decompensated cirrhosis
Province/territory
British Columbia F2  None listed None listed General practitioner None listed
Alberta F2 None listed None listed None listed Ineligible
Saskatchewan F2 None listed None listed General practitioner None listed
Manitoba F2 None listed Eligible Specialist Ineligible
Ontario F2 None listed Eligible General practitioner Ineligible
Quebec None listed* None listed Ineligible None listed None listed
New Brunswick F2 None listed None listed None listed Ineligible
Nova Scotia F2 None listed None listed Specialist Ineligible
Prince Edward Island NA NA NA NA NA
Newfoundland and Labrador F2 None listed None listed None listed Ineligible
Yukon F2 None listed None listed Specialist Ineligible
Northwest Territories F2 None listed None listed Specialist None listed
Nunavut F2 None listed None listed Specialist None listed
Federal
Non-Insured Health Benefits Program F2 None listed None listed Specialist None listed
Correctional Service Canada F2§ None listed¶ None listed None listed None listed

Note: NA = not available.

*However, coauthors indicated that in practice there were no fibrosis stage restrictions.

†However, exceptions could be granted via the "patient d'exception" (exception patient) measure.

‡None listed in criteria; however, a specialist prescription was required for peginterferon-based treatments.

§Treatment prioritized to patients with stage F3 or F4 fibrosis; treatment for those with stage F0, F1 or F2 fibrosis was reviewed on a case-by-case basis.

¶Directly observed therapy required.