Table 4: Key eligibility criteria for reimbursement of ledipasvir-sofosbuvir reimbursement for treatment of hepatitis C virus infection, by jurisdiction
JurisdictionRestriction
Minimum fibrosis stage requiredSubstance useHIV coinfectionPrescriberDecompensated cirrhosis
Province/territory
British ColumbiaF2None listed*EligibleGeneral practitionerMay be considered
AlbertaF2None listedEligibleGeneral practitionerMay be considered
SaskatchewanF2None listed†EligibleGeneral practitionerMay be considered
ManitobaF2None listedEligibleSpecialistMay be considered
OntarioF2None listedEligibleGeneral practitionerMay be considered
QuebecF3‡None listedEligible§General practitionerEligible
New BrunswickF2None listedEligibleGeneral practitionerNone listed
Nova ScotiaF2None listedEligibleSpecialistMay be considered¶
Prince Edward IslandNANANANANA
Newfoundland and LabradorF2None listedEligibleGeneral practitionerMay be considered
YukonF2None listedEligibleSpecialistMay be considered
Northwest TerritoriesF2None listedEligibleGeneral practitionerNone listed
NunavutF2None listedEligibleGeneral practitionerNone listed
Federal
Non-Insured Health Benefits ProgramF2None listedEligibleGeneral practitionerNone listed
Correctional Service CanadaF2**None listed††EligibleNone listedNone listed

Note: NA = not available.

*No specific criteria, but exclusion criteria stated: "Patients who are at high risk for non-compliance."

†However, prescriber could indicate that directly observed therapy was recommended; also, the patient consented (via signature) to understanding treatment adherence.

‡In year 1 (2015/16), only those with stage F3 or F4 fibrosis received reimbursement.

§Treated in year 1 if stage F3 or F4 fibrosis.

¶Source: coauthor.

**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.