Biogen Inc. has announced the approval of SKYCLARYS™ (omaveloxolone) by Health Canada as the first and only treatment in Canada specifically targeting the underlying mechanisms of Friedreich ataxia $(FA)$ in patients aged 16 and older. This approval was granted under Health Canada's Priority Review process. Despite this significant milestone, Biogen has expressed disappointment over the recommendation by INESSS against listing SKYCLARYS for reimbursement in Quebec, which would leave FA patients in the province without public access to this critical treatment. The approval of SKYCLARYS marks a breakthrough for FA patients, addressing a major gap in care and offering hope for improved quality of life. The decision now awaits further consideration for reimbursement by Quebec authorities.