Special Authority applications

Pharmac sets specific criteria that must be met before some medicines will be funded. We do this to ensure medicines are targeted to those who would benefit most from treatment.

On this page

Pharmac's role

Pharmac sets the criteria for funding. The Ministry of Health manages Special Authority applications. 

We do manage Special Authority waivers. If someone doesn't quite meet the exact criteria of a Special Authority, but meets the intent of the criteria, prescribers can ask us to waive (ignore) a specific criteria.

Learn more about waivers

How to find a Special Authority form

Each medicine with restrictions has its own form that’s linked from the Schedule listing.

or you can browse all SA forms

The forms outline the requirements that need to be met for the medicine to be funded.

If your patient’s circumstances don’t quite meet the requirements, check the Special Authority waiver process.

Read more about the Special Authority waiver process

The Ministry of Health processes SA forms.

If the ESA link doesn’t work, see the Ministry of Health’s website about getting access(external link)

Fax: 0800 100 131

Postal:
Ministry of Health
Private Bag 3015
Whanganui

More information

Pharmac has policies in place to respond to exceptional circumstances that require medicines to be funded outside the Schedule.

Read our exceptional circumstances framework 

Who to contact

Contact Ministry of Health Sector Operations about Special Authority applications:

They can answer questions related to:

  • declined decisions
  • submitting paper-based applications
  • issues with the online system.

Pharmac sets the criteria for Special Authority applications. If you have questions about the criteria: