Drugs With Special Ordering Procedures (SAP Chart) Drug Supplier BC Cancer Requirements Ordering Procedures Abemaciclib Eli Lilly Canada Not funded by BC Cancer Now marketed. (Verzenio®) Phone: 1-888-545-5972 Contact Patient Support program effective mid-July 2019 Abiraterone Janssen Ortho CAP approval Now marketed tel: 416-382-5078 or 416-805- See Patient Assistance Programs 4648 AGS-16C3F – SAP Astellas Pharma USA CAP approval (no cost) Health Canada Special Access Request Form A Phone 1-224-205-8279 http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- drogues/index-eng.php Alemtuzumab Genzyme • Contact Clnigen Group to open an account – (MABCAMPATH®) Phone: 905-267-3184 company will send a Cliniport registration form • Complete Cliniport Registration form with an email Distributed through the address for authorizing physician(s) MabCampath Distribution and pharmacist(s) placing the order via Cliniport Program and fax back to +44 1283 494341 which is managed by the • Once registered, company will send guidance on Clinigen Group using the Cliniport portal for ordering, tracking www.clinigengroup.com orders, reassigning vials, and closing out patients records Phone : +44 1283 494340 • Reports detailing all shipments and current status of Fax: +44 1283 494341 Campath can be downloaded through the Cliniport Email: portal customer.services@clinigengr oup.com Alpelisib Novartis Canada Not funded by BC Cancer Now marketed. (Piqray®) Contact Patient Support Program: Piqray PSP 1-877-516-5353 Atezolizumab Hoffmann-La Roche Not currently funded by BC Cancer. Now marketed. (TECENTRIQ®) See Patient Assistance Programs Amivantamab-vmjw Janssen (no cost) Health Canada Special Access Request Form A SAP Tel: 1-800-567-3331 http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- [email protected] drogues/index-eng.php 8 Sep 2021 1/18 Drugs With Special Ordering Procedures (SAP Chart) Drug Supplier BC Cancer Requirements Ordering Procedures Avelumab – SAP EMD Serono CAP approval Now marketed (Bavencio®) A Business of Merck KGaA, Darmstadt, Germany EMD Inc., Canada | 200-2695 North Sheridan Way | Mississauga, Ontario L5K 2N6 | Canada Phone: +1 905 919 0200 ext. 5534 | Mobile: +1 416-729- 3254 | Fax: +1 905 919 0299 www.emdserono.ca Azacitidine - Celgene: CAP approval Now marketed (VIDAZA®) 1-888-712-2353 ext 4807 Aztreonam - SAP Bristol-Myers For inpatients only: (AZACTAM®) 1-514-333-2037 Health Canada Special Access Request Form A http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- drogues/index-eng.php Bazedoxifene – SAP Martina Vlahakis CAP approval (no cost) Health Canada Special Access Request Form A (CONBRIZA) Pfizer Canada http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- Tel: 514-695-0500 or 877- drogues/index-eng.php 633-2001 Belantamab mafodotin GSK (no cost) Health Canada Special Access Request Form A – SAP (also known as Tel: +44 20 8047 4856 http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- GSK2857916) drogues/index-eng.php Belinostat – SAP Servier Canada CAP approval (no cost) Health Canada Special Access Request Form A (Beleodaq®) Tel: 450-978-0409 #4381 http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- drogues/index-eng.php Bexarotene - SAP Valeant Pharmaceuticals CAP approval (cost) Health Canada Special Access Request Form A (TARGRETIN®) Phone: 1-800-361-4261 http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- Email: drogues/index-eng.php [email protected] m 8 Sep 2021 2/18 Drugs With Special Ordering Procedures (SAP Chart) Drug Supplier BC Cancer Requirements Ordering Procedures Brigatinib Takeda Canada Not funded by BC Cancer Now marketed (ALUNBRIG®) 1-844-884-4968 Contact the Patient Assistance Program Tel: 844-884-4968 Buprenorphine – SAP Indivior (no cost) Pre-approval from company required. (Sublocade®) tel: 514-331-1114 Shipped to BC Cancer but transfer to outside pharmacy to dispense Health Canada Special Access Request Form A http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- drogues/index-eng.php Cabozantinib Ipsen Canada Not funded by BC Cancer Now marketed. Contact Ipsen Cares Patient Support (Cobometyx®) tel: 1-855-215-2218 Porgram (1-855-215-2288) for drug access. Canakinumab Novartis Not funded by BC Cancer Contact the Patient Assistance Program (IDARIA®) EXPOSE – 1-844-279-7673 Capmatinib - SAP Novartis Canada CAP approval (no Cost) Health Canada Special Access Request Form A (Tabrecta®) Fax 1-416-262-4992 http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- Email drogues/index-eng.php [email protected] Pre-approval from drug company. om Carbidopa – SAP Merke-Frosst N/A Now marketed tel: 1-800-361-7031 x3212 Carfilzomib Amgen Not currently funded by BC Cancer Now marketed - (Kyprolis®) Contact the Victory Program (1-888-706-4717) for drug access and private infusion clinic Carmustine Heritage Pharmaceuticals Inc Now marketed 732-429-1000 local 132 8 Sep 2021 3/18 Drugs With Special Ordering Procedures (SAP Chart) Drug Supplier BC Cancer Requirements Ordering Procedures Carmustine Implant Eisai Limited CAP approval (cost) Health Canada Special Access Request Form A (GLIADEL® Wafers) - Company contact http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- SAP Alex Flint Medical Director drogues/index-eng.php Phone: 647-299-2983 or 905-361-7137 Email: [email protected] Distributor – Idis/Clinigen [email protected] Cediranib-SAP Astra Zeneca CAP approval (no cost) Pre-approval from company required. Tel: 1-800-565-5877 Email: Health Canada Special Access Request Form A sapcanadaastrazeneca@astr http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- azeneca.com drogues/index-eng.php Cemiplimab Sanofi Not funded at BC Cancer Now marketed REACH Patient Support Program (Libtayo®) Tel: 1-855-572-6634 Fax: 1-844-342-4534 Chlormethine Recordarti (cost) Health Canada Special Access Request Form A Hydrochorine – SAP Tel: 647-255-8830 Alternative to mechlorethamine http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- (Legara®) drogues/index-eng.php Chloroprocaine - SAP Fresenius Kabi N/A Health Canada Special Access Request Form A (NESACAINE®) Tel: 905-238-1234 http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- email: abascom@fresenius- drogues/index-eng.php kabi.ca Cisplatin, lyophilized Bristol-Myers Squibb Not currently marketed in Canada. powder, – SAP tel: 514-333-2287 Not currently available through SAP. (PLATINOL®) Clofarabine Sanofi Genzyme Canada Health Canada Special Access Request Form A SAP (Evoltra®) Tel: 1-800-265-7927 http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- SAP supply from UK drogues/index-eng.php during back order Drug provided free of charge by company. period in Canada 8 Sep 2021 4/18 Drugs With Special Ordering Procedures (SAP Chart) Drug Supplier BC Cancer Requirements Ordering Procedures Cytarabine Hospira No longer on back order. tel: 1-866-488-6088 Cytarabine liposome sigma-tau Rare dedication CAP approval (cost) Health Canada Special Access Request Form A injection - SAP Support Centre http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- (DEPOCYT®) US Discontinued by manufacturer (May drogues/index-eng.php tel: 1-888-276-2217 2018) fax: 1-866-489-1898 Daratumumab Janssen Not currently funced by BC Cancer Now Marketed (DARAZALEX®) (cost) See Patient Assistance Programs Daunorubicin – liposomal - SAP Please see DaunoXome® - SAP DaunoXome® - SAP GALEN PHARMA (UK) CAP approval Health Canada Special Access Request Form A (liposomal Phone:02838334974 http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- daunorubicin) Email: [email protected] drogues/index-eng.php Decitabine – SAP Eisai CAP approval Health Canada Special Access Request Form A (DACOGEN®) Arlene Nugent http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- phone: 647-302-2947 drogues/index-eng.php email: [email protected] Denileukin Diftiox - Ligand Pharmaceuticals CAP approval Health Canada Special Access Request Form A SAP 1-508-435-8484 x 353 http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- (ONTAK®) drogues/index-eng.php Dexrazoxane Pfizer CAP approval No longer on back order (ZINECARD®) tel: 1-800-387-4974 8 Sep 2021 5/18 Drugs With Special Ordering Procedures (SAP Chart) Drug Supplier BC Cancer Requirements Ordering Procedures Diazoxide – SAP Teva Pharmaceuticals CAP approval Health Canada Special Access Request Form A (Proglycem®) Sellerville, PA, USA 18960 http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- Phone : 305-575-6284 drogues/index-eng.php Dostarlimab – SAP GSK (no cost) Health Canada Special Access Request Form A (also known as TSR- tel: +44 20 8047 4856 http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- 042) drogues/index-eng.php Doxorubicin – non- pegylated liposomal Please see MYOCET® Eltrombopag Glaxo See Patient Assistance Programs Not funded by BC Cancer. Encorafenib – SAP Pfizer Canada CAP approval (no cost) Health Canada Special Access Request Form A Tel: 514-426-7487 http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- drogues/index-eng.php Company pre-approval. Enfortumab Vedotin – Seagen Canada (no cost) Health Canada Special Access Request Form A SAP Tel: 1-833-944-6546 http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- drogues/index-eng.php Erwinase CGF Pharmatech (cost) Health Canada Special Access Request Form A l-asparaginase - SAP 1-866-343-0344 http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- (ERWINASE®) drogues/index-eng.php Etomidate – SAP Hospira Health Canada Special Access Request Form B (for (AMIDATE®) Tel: 514-905-2619 future use) http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- drogues/index-eng.php Etoposide phosphate - Xedition CAP approval (cost) Health Canada Special Access Request Form A SAP Tel: 905-286-9111 http://www.hc-sc.gc.ca/dhp-mps/acces/drugs- (ETOPOPHOS®) drogues/index-eng.php 8 Sep 2021 6/18 Drugs With Special