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Device and supply providers

Last updated on September 3, 2026

This page likes to the information most needed by device and supply providers enrolled in PharmaCare.

On this page

The Prosthetic and Orthotic Program helps patients achieve or maintain basic functionality. Coverage is subject to PharmaCare plan rules, including deductible and family maximum requirements under Fair PharmaCare.

Information on additional benefits for First Nations Health Authority (FNHA) clients is available through the Pacific Blue Cross Pharmacy Fee Supplement for Clients of the First Nations Health Authority (PDF, 2MB). Visit Plan W: Information for health professionals for details on how to submit claims to Pacific Blue Cross using a First Nations Health Authority (FNHA) client's Status Card. 

For non-pharmacy sites supporting FNHA clients with access to medical supplies and equipment, refer to the Pacific Blue Cross Medical Supplies & Equipment Fee Supplement For Clients of the First Nations Health Authority (PDF, 1.8MB) for information on additional benefits and how to bill.

For questions about coverage for medical supplies for FNHA clients, call FNHA Health Benefits at 1-855-550-5454.

Policy manuals

For your clients

Please always encourage your clients to register for the income-based Fair PharmaCare Plan. Post the Fair PharmaCare Registration poster and distribute the Get Covered! (PDF, 74KB) handout.  Full page - colour and grayscale. Quarter-page - colour and greyscale. 

Information sheets in 15 languages:

Handout to register for Fair PharmaCare

Medical devices and supplies are exempt from PharmaCare’s Full Payment Policy. This means that even if a client is receiving 100 percent coverage of the maximum eligible PharmaCare amount, providers are able to directly charge clients any amount in excess of that amount.

Preapproval requirements and forms

PharmaCare requires pre-approval for all eligible prostheses and orthoses except:

  • Prosthetic supplies under $400.00
  • Prosthetic and orthotic repairs or adjustments under $400.00
  • Lymphedema arm sleeves and gloves/gauntlets
  • Plagiocephaly helmets for clients who meet the criteria on page 2 of the HLTH 5450 - PharmaCare Orthotic Benefits: Plagiocephaly Helmet (PDF, 529KB) form
  • Regular benefit breast prostheses (unless requesting an exception to policy, such as replacing a breast prosthesis before the two-year limit; in that case, pre-approval is required)
  • Facial prostheses replacements when it has been longer than 36 months since the last prosthesis was dispensed, the client does not require extra fitting time, and all other criteria under P&O Manual sections 5.3.1, 5.3.2, 5.4.1 and 5.4.2 are met as appropriate for the type of prosthesis

PharmaCare does not cover any non-exempt item unless pre-approval has been granted.

PharmaCare does not cover prostheses if the injury was the fault of a third party and the client received an award or settlement. Read Section 4, P&O Manual - Client Eligibility for details. If such a client is applying for PharmaCare coverage, they must submit HLTH 5467 - PharmaCare Eligibility: Awards and Settlements (PDF, 521KB)

Invoices

PINs, reimbursement, repairs

Girling formula

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