5.15 Needles and Syringes

General Policy Description

PharmaCare covers needles and syringes for patients with insulin-dependent diabetes.

PharmaCare does not cover needles and syringes for non-insulin therapy, alcohol swabs, BD glide syringes or safety needles.

Policy Details

Needles and syringes for insulin therapy

PharmaCare covers needles and syringes for insulin therapy for patients with insulin-dependent diabetes only.

Claims must be submitted using the PIN 999725 (Needles/Syringes–Insulin Use Only).

Needles and syringes for insulin therapy are reimbursed at the regular retail price with no dispensing fee.

Needles and syringes for non-insulin therapy

PharmaCare does not cover needles and syringes for non-insulin therapy (e.g., injectable heparin or dimenhydrinate).

Such claims must be entered using the PIN 66123227 (Non-Drug Medical Supplies–Non-Benefit).

Claims for needles and syringes for non-insulin use made using the benefit PIN 999725 (Needles/Syringes–Insulin Use Only) are subject to recovery by PharmaCare.