Who We Cover

B.C. residents are eligible for coverage under Fair PharmaCare (the income-based plan under which most B.C.residents are covered) and seven other plans.

 

The Fair PharmaCare plan provides B.C. families with coverage for eligible prescription drugs and designated medical supplies, based on their net income. Fair PharmaCare also ensures that B.C. residents, regardless of income, are protected from catastrophic drug costs.

All eligible British Columbians are encouraged to register for the plan.

Haven't registered yet? Coverage begins immediately if you register online or by phone. You can register online 24 hours a day, 7 days a week. There is no charge to register and there are no premiums to pay.

>> Learn more about Fair PharmaCare

PharmaCare covers the full cost of eligible prescription drugs and designated medical supplies for permanent residents of licensed residential care facilities as long as the facility has asked PharmaCare to add it to the list of Plan B facilities.

If it has been added as a Plan B facility, individuals who become permanent residents of the facility are automatically covered under PharmaCare Plan B.

PharmaCare encourages individuals moving to licensed residential care facilities to confirm, in advance, that the facility is able to offer PharmaCare Plan B coverage.

Each residential facility is served by a contracted pharmacy. Each month, PharmaCare pays the contracted pharmacy:

  • a fixed fee for providing services to each occupied bed in the facility, and
  • the full cost of eligible prescription drugs and designated medical supplies.

Note: Plan B does not apply to people who are:

  • staying in extended-care, acute-care, multi-level, or assisted-living facilities
  • short-term patients in a licensed residential care facility (e.g., patients staying in a facility temporarily to provide respite for their caregivers)

Short-term residents receive coverage under Fair PharmaCare, Plan C (Recipients of B.C. Income Assistance)  or Plan W, depending on their PharmaCare plan eligibility.

This plan provides 100% coverage of eligible prescription costs for B.C. residents receiving medical benefits and income assistance through the Ministry of Social Development and Poverty Reduction. The Ministry of Social Development and Social Innovation sends eligibility information to PharmaCare on their clients’ behalf—you do not need to apply to PharmaCare for this coverage.

For more information on these benefits, contact your local office of the Ministry of Social Development and Poverty Reduction.

Individuals with cystic fibrosis who are registered with a provincial cystic fibrosis clinic receive coverage of digestive enzymes and other products listed in the Cystic Fibrosis Formulary. The Cystic Fibrosis Clinic arranges Plan D coverage for their patients. You do not need to apply to PharmaCare for this coverage.

For more information on eligibility for Plan D, please contact your nearest cystic fibrosis clinic.

PharmaCare provides 100% coverage of the digestive enzymes included in the Cystic Fibrosis Formulary under Plan D. 

Coverage for other products in the formulary are subject to the rules of your other PharmaCare plan, that is, Plan C (Income Assistance)Plan F (At-Home Program), Plan W (First Nations Health Benefits) or Fair PharmaCare

Important: PharmaCare can cover items in the Cystic Fibrosis Formulary under Plan D or another PharmaCare plan only if you purchase them at a pharmacy in the same manner as you would a prescription drug. This is because the pharmacy must submit a claim to PharmaCare for these items at the time you purchase them.

Note: This plan covers only cystic fibrosis supplies. For other prescription and medical supply costs, you will need coverage under Plan C, Plan W or Fair PharmaCare. For information on products not listed in the Cystic Fibrosis Formulary, contact the PharmaCare Help Desk at Health Insurance BC.

For information about coverage limits, see General PharmaCare Coverage Policies.

The At Home program of the Ministry of Children and Family Development provides community-based, family-style care for severely handicapped children who would otherwise become reliant on institutional care.

Children receiving full benefits or medical benefits through the program qualify for 100% coverage of eligible prescription drugs and designated medical supplies.

The Ministry of Children and Family Development submits your information to PharmaCare.

Note: This plan covers medication only for the child in the At Home Program. Other family members will need coverage under Plan C, Plan W, or Fair PharmaCare for their prescription and medical supply costs.

For more information on eligibility, contact the Ministry of Children and Family Development.

The Psychiatric Medications Plan (Plan G) is available to B.C. residents of any age who demonstrate clinical and financial need. The plan provides coverage of certain psychiatric medications.

Your eligibility is confirmed by your physician or nurse practitioner (the prescriber), and the local Mental Health and Substance Use Centre (MHSUC), or the local Child and Youth Mental Health services centre (CYMH). If you are eligible, your physician will submit an application form (PDF) on your behalf. Coverage is provided for up to 1 year. If you require further coverage, your physician can submit a new application for you.

The drugs eligible for coverage under the Psychiatric Medications Plan are listed in the Plan G Formulary by both brand and generic name. Drugs in the formulary identified as "Limited Coverage" require Special Authority approval from PharmaCare before the prescription is filled in order for the cost to be eligible for coverage. For these medications, your prescriber must submit a Special Authority Request to PharmaCare.

This plan covers only those medications listed in the Plan G formulary. For help with other prescription and medical supply costs, you will need coverage under Plan C, Plan W, or Fair PharmaCare.

For information about coverage limits, see General PharmaCare Coverage Policies.

PharmaCare covers certain drugs for the treatment of opioid addiction under Plan G. Learn more

BC Palliative Care Benefits support BC residents of any age who have reached the end stage of a life-threatening disease or illness and who wish to receive palliative care at home. "Home" is defined as wherever the person is living, whether in their own home, with family or friends, in a supportive/assisted living residence, or in a hospice unit at a residential care facility (e.g. a community hospice bed that is not covered under PharmaCare Plan B).

Eligible patients receive:

  • 100% coverage of eligible costs for medications used in palliative care through the PharmaCare BC Palliative Care Drug Plan (Plan P), and
  • medical supplies and equipment through the local health authority.

Physicians or nurse practitioners submit a registration form to PharmaCare for their patients. The single registration form is used to notify both PharmaCare and the health authority of the patient's eligibility for the benefits.

The Palliative Care Drug Plan Formulary (PDF) lists the drugs that PharmaCare covers under the drug plan portion.

Our BC Palliative Care Benefits patient information sheet (PDF) provides further details.

Note: This plan covers only items related to palliative care. For help with other prescription and medical supply costs, you will also need coverage under  Plan C, Plan W, or Fair PharmaCare.

To register, speak to your physician or nurse practitioner.

For information about coverage limits, please see General PharmaCare Coverage Policies.

Plan W provides 100% coverage of eligible prescription costs and certain medical supplies and pharmacy services, as well as certain over-the-counter drugs, devices, and some health products. Plan W is funded by the First Nations Health Authority.

Find out more about Plan W .

For information about coverage limits, please see General PharmaCare Coverage Policies.