Good question, I may have worded that too strongly. But if they’ll approve it upon request that is pretty close to a recommendation still, even if they didn’t bring it up themselves. Keep in mind that all medicine will be subsidized and cost the government money, and afaik the medicine in question is fairly expensive, so doctors are in general supposed to be restrictive in prescribing medicine willy nilly - if they prescribe it, patients will trust that it will have effect and be safe.