The benefit eligibility process uses a relationship, established by PharmaCare, between a product, its associated benefit group and the plan rules.
|A||No longer a benefit group. Plan discontinued in 2003.|
|AD||Alzheimer’s ADTI Medications—Special Authority required|
|AM||Seniors over 65 Methadone Maintenance|
|B||Residential Care Clients—eligible under Plan B|
|C||Recipients of B.C. Income Assistance—eligible under Plan C|
|CH||Recipients of B.C. Income Assistance under age 19—eligible under Plans CN, F, K0-K9, KA-KZ, 1K-4K, QN and UK|
Registered Cystic Fibrosis Clients—eligible under Plan D
Syringes and Infusion Sets for Patients with Diabetes—eligible under Plans C, F, I0-9, IA-IZ, 1I-4I, J0-J9, JA-JZ, 1J-2J, Q, UI, and W
|F||At Home Clients—eligible under Plan F|
|I2||Insulin (No Fee Allowed)—eligible under Plans B, C, F, I0-9, IA-IZ, 1I-4I, J0-J9, JA-JZ, 1J-2J, Q, & UI|
Limited Coverage Items—Special Authority Required
Psychiatric Medications—eligible under Plan G
A limited number of medications in the formulary are available under the Trial Prescription Program.
|N||Nebulizers for Children Under 19—eligible under Plans CN, F, K0-K9, KA-KZ, 1K-4K, QN, UK and W|
|NS||Non-Steroidal Anti Inflammatory—eligible under Plan B|
Prosthetic / Mastectomy / Ostomy Supplies—eligible under Plans B, C, F, I0-9, IA-IZ, 1I-4I, J0-J9, JA-JZ, 1J-2J, Q, UI, and W*
*Coverage should be obtained through Non-Insured Health Benefits (NIHB).
|PC||Clients Registered for BC Palliative Care Benefits Program|
Trial Prescriptions—eligible for Plans C, F, I0-9, IA-IZ, 1I-4I, J0-J9, JA-JZ, 1J-2J, Q, UI, and W
|U||Fair PharmaCare clients—eligible under Plans I0-9, IA-IZ, 1I-4I, J0-J9, JA-JZ, 1J-2J, Q, & UI|
|W||First Nations Health Benefits—eligible under Plan W, WC, WD, WX|