Health Canada's special access programs: Request a drug

On this page

Who can apply

If you're a health care professional, you can request a drug that is not available for sale in Canada through the Special Access Program (SAP). Your request must be for treating a patient with a serious or life-threatening condition where conventional treatments:

  • have failed
  • are unsuitable or
  • are not available in Canada

For access to SAP, a health care professional is someone who:

  • is entitled, under the laws of a province or territory, to treat patients with an unapproved prescription drug
  • practises in that province or territory
  • has prescribing privileges in the respective province

Most often, a licensed physician is the health care professional who uses SAP. If in doubt, you should consult your professional college for information on your scope of practice.

When requesting a drug through SAP on behalf of your patients, you must:

  • ensure your patients are well informed of the possible risks and benefits of the drug being requested and its development status
  • provide a report to Health Canada on the results of the use of the drug, including any adverse reactions
  • maintain accurate and accessible records in the event that you are asked to account for quantities of the drug received
  • ensure that the decision to prescribe the drug is supported by credible evidence available in relevant medical literature or provided by the manufacturer

In some cases, a foreign manufacturer may consider importing a drug into Canada for pre-positioning before receiving authorization to sell to a requesting practitioner.

How to apply

For a patient-specific request

To submit a request to access non-marketed drugs used to treat, diagnose or prevent serious or life-threatening conditions in a patient:

  1. Complete and sign the SAP request form.

In a critical emergency, please contact SAP by telephone at 613-941-2108.

  1. Fax your completed form, without a cover sheet, to 613-941-3194.
  2. Wait for a decision.

For a future use request

To access a non-marketed drug for a future medical emergency, you must give a valid reason for needing the drug in advance rather than for a specific patient. To submit a future use request:

  1. Complete and sign the future-use form.
  2. Fax your completed form, without a cover sheet, to 613-941-3194.
  3. Wait for a decision.

Note: We will consider expediting our review for a drug:

  • previously authorized through SAP for the same medical emergency
  • authorized by the European Medicines Agency or the US Food and Drug Administration for the same medical emergency

Cost

The manufacturer determines the cost of the drug. In some cases, drugs released through SAP are free.

If there's a charge, hospitals, public or private insurers or, in some cases, patients or their families will cover the cost.

How we process requests

We try to process requests within 1 working day of receipt. Urgent SAP requests (for example, in a critical emergency) take precedence.

If a drug is new to us at SAP, we may need more time to process a request by a health care professional. However, we will make every effort to contact the person within 1 working day to discuss the process for handling new drugs.

After our review, we will make a decision as follows:

  • Authorization: The information meets SAP criteria.
    • We will fax a letter of authorization to the manufacturer and send a copy to the health care professional.
  • Incomplete: The SAR form is incomplete or unclear.
    • We will contact you if there is missing information or to clarify your request.
  • Cancellation: We cancelled the request because the manufacturer is unable to provide access to the drug through SAP or the drug is marketed in Canada.
  • Withdrawn: The health care professional who made the request has withdrawn the application.
  • Denial: The information does not meet SAP criteria.
    • If we are considering denying the request, we may contact the health care professional to discuss the reasons for this. After the phone call, it is possible we may reconsider our decision.
    • We will send a letter, by fax, explaining our decision to the health care professional.

For urgent life-threatening or end-of-life situations

For patients in a life-threatening or end-of-life situation due to an emergency or critical/terminal illness, physicians can ask to speak to a health care professional when requesting a drug through SAP.

Mandatory reporting requirements

Follow-up form

To report outcomes, including adverse reactions, from using the drug:

  1. Complete, sign and date the follow-up form.
  2. Fax your completed form, without a cover sheet, to 613-941-3194.

Information for manufacturers

Drugs accessed through SAP are supplied directly by manufacturers to health care professionals.

Authorized drugs can only be sent to:

  • the office of the health care professional who made the request
  • pharmacies
  • community pharmacies
  • radiopharmacies
  • blood banks

The manufacturer may impose restrictions or conditions on the release of the drug to ensure it is used correctly.

Manufacturers are also responsible for providing all drug information to health care professionals who request it.

Pre-positioning

In some cases, a foreign manufacturer may want to import a drug into Canada for pre-positioning before a health care practitioner makes a request through SAP. To pre-position a drug, a manufacturer must:

  • provide information about the medical emergency and how the new drug being imported will be used
  • give a rationale as to why the product needs to be pre-positioned
  • explain the urgency of having the product in Canada, including if the drug requires timely administration
  • specify the quantity of drug to be pre-positioned
  • identify the Canadian importer who will pre-position the drug in a Canadian facility (must hold an establishment licence in Canada)

To apply, follow these steps:

  1. Complete and sign the Pre-positioning Form.
  2. Fax your completed form, without a cover sheet, to 613-941-3194.
  3. Wait for a decision from SAP.

Contact us

Access to SAP is available 24 hours a day, 365 days a year.

Regular business hours are from 8:30 am to 4:30 pm Eastern Standard Time, Monday to Friday.

On-call service is available for emergencies outside regular hours (evenings, nights, weekends and holidays) from 4:30 pm on Friday to 8:30 am on Monday. On a statutory holiday, on-call service continues until 8:30 am on the first business day following the holiday.

For questions about SAP, contact us:

Special Access Program
Therapeutic Products Directorate

Telephone: 613-941-2108
Fax: 613-941-3194
E-mail: hc.sapd-pasm.sc@canada.ca

Related links

Report a problem or mistake on this page
Please select all that apply:

Thank you for your help!

You will not receive a reply. For enquiries, contact us.

Date modified: