Accurate quantity reporting is critical to efficient and accurate adjudication of claims.
Section 5.5—Correct Quantities Policy explains that entering the correct dispensed quantity (e.g., number of syringes, volume in millimetres) in PharmaNet ensures the efficient and accurate adjudication of claims.
The Correct quantities for PharmaCare claim web page and the BC PharmaCare Formulary Search provide the quantity to enter in PharmaNet for specific products.
Health Canada assigns one drug identification number (DIN) per drug entity. This calls for attention for drugs marketed in unit dose syringes, vials or packs of the same concentration but of varying volumes.
Practitioners, especially emergency department physicians and hospital pharmacists, rely on the information in PharmaNet when determining what doses a patient has already had and what doses to re-prescribe.
Pharmacist best practice includes:
Document in the SIG field the exact dose dispensed
Ensure doses are confirmed by a third party (e.g., patient, prescriber, hospital or clinic) before new orders are written and filled
Visit Correct quantities for PharmaCare claims to find the correct quantities to enter in PharmaNet.
The BC PharmaCare Formulary Search may also be helpful in determining the unit of measure used for a particular product.
If you are still unsure which unit of measure to enter, or are having trouble entering a decimal, contact the PharmaCare Help Desk.