Register for Fair PharmaCare

All residents of B.C. are eligible for Fair PharmaCare coverage if they:

• Have Medical Services Plan (MSP) coverage, and
• Give PharmaCare permission to check their income with the Canada Revenue Agency (income is from two years prior)

Coverage is family-based. A family can be a:

• Single person
• Married or common-law couple
• Single person with dependent children
• Couple with dependent children

Your annual net family income determines the level of coverage you receive. If you have a spouse, or are in a marriage-like relationship, you must include your spouse in your registration. 

To register, you need:

• For all family members:
  • Personal Health Number (found on the back of your driver’s licence or BC Services Card)
  • birth date
• For you and your spouse (if you have one):
  • Social Insurance Number
  • income from the tax return from two years ago, including:
    • net income (line 23600 of the return)
    • any income from a Registered Disability Savings Plan (RDSP) (line 12500)

PharmaCare uses income tax data from two years ago to calculate the Fair PharmaCare coverage your family receives. For example, your 2021 coverage will be calculated using your 2019 tax return. This is because much of the time, your income tax information from the previous year will not yet be available. 

Coverage is provided for a calendar year, from January 1 to December 31. PharmaCare automatically renews your coverage as long as your income information from two years prior is available from the Canada Revenue Agency.

The following people who may not have filed a tax return in Canada two years ago, may need to supply more information:

• New residents to Canada (please read Information for New Residents)
• British Columbians who have been living and working overseas
• People turning 19 (see below)
• People who were exempt from filing a Canadian tax return

Please contact us if you have not yet filed a tax return in Canada, or did not file one two years ago.

If you have recently turned 19 and are not a full-time student, you should register for your own Fair PharmaCare account. Your parents' (or guardians') incomes will not affect your deductible or family maximum, and you may be able to get more coverage.

People between the ages of 19 and 25, who are in full-time post-secondary education programs, may remain on their parents' accounts.

For more information on Fair PharmaCare, see:

• Frequently Asked Questions about Registration, Income and Consent
• Registration for New Residents of Canada
• Adding/Removing Spouse or Children

Fair PharmaCare helps B.C. families pay for eligible prescription drugs, some medical supplies and devices, and eligible pharmacy services. PharmaCare is income-based; the less a family earns, the more help they get.

You can register online, by phone, or by mailing in a paper form. If you register online or by phone, your coverage will begin immediately. You only need to register once. If you registered previously and no longer have coverage, please contact us.

PharmaCare checks your income every year to ensure your coverage is correct. To maintain your Fair PharmaCare coverage, you must file a tax return every year.

Get an estimate of your level of Fair PharmaCare coverage using our online calculator.

OR

See the information sheets below for information on coverage levels.

• Regular Fair PharmaCare Assistance (PDF, 185KB)
• Coverage for those born in or before 1939 (PDF, 183KB)

After you register, Health Insurance BC will send you a consent form that you must fill in, sign, and send back within 30 days, so that we can check your income with the Canada Revenue Agency (CRA).

• If you do not return your CRA consent form, temporary coverage will end and your family's deductible will be set at $10,000.
• It may take up to 90 days to confirm your income with the CRA.
• Once we verify your income, PharmaCare will send you a confirmation letter within 30 days.

Fair PharmaCare covers:

• Eligible prescription drugs 
• Some medical supplies and devices
• Eligible dispensing fees
• Fees for some other pharmacy services (such as medication reviews for patients prescribed five medications or more)

It does not cover costs from previous years, or from times when your family’s MSP coverage was not active. For more information, please see What We Cover.

Under the Fair PharmaCare plan, you pay your family’s prescription costs until you meet your deductible. After that, PharmaCare helps you with eligible costs for the rest of the year. If you reach your family maximum, PharmaCare will pay 100% of your eligible costs for the rest of the year. Learn more about Fair PharmaCare, and how deductibles and family maximums work.

Need more assistance?

• If you are sure your family will meet or exceed your deductible, you may sign up for the Monthly Deductible Payment Option. 
• If your family's net income has decreased by 10% or more in the past two years, you may be eligible for an Income Review.