What documentation is required for the exceptional access of medication?

The requirement for a physician's application is essential for the exceptional access program (EAP) because this intervention is specifically designed for patients who need access to medications that are not typically covered under the standard formulary. The physician plays a critical role as the primary healthcare provider who understands the patient's specific medical needs and can justify the necessity of the medication that falls outside standard coverage.

The physician’s application essentially outlines the details of the patient's health condition, the rationale for the medication's use, and any other pertinent medical history. This structured documentation is necessary for the reviewing body—often a specialist or committee—enabling it to assess the application thoroughly and efficiently.

In contrast, while proof of income, discharge summaries, and insurance coverage documents may be relevant in various healthcare contexts or programs, they do not fulfill the core requirement of the exceptional access process, which hinges primarily on the professional assessment and endorsement of a physician.