7.9 Medication Management (Plan M)

General Policy Description

Plan M covers individuals for eligible medication management services (e.g., clinical services, medication review services, and publicly funded vaccinations) provided by pharmacies.

Policy Details

Coverage is provided for individuals, rather than families.

Coverage under Plan M does not extend to patients in acute or extended care hospitals.

Patients covered under Plan B (Permanent Residents of Licensed Residential Care Facilities) are not covered for Medication Review Services.

Eligibility for coverage under Plan M is established in Section 8.4, Clinical Services Fees; Section 8.9, Medication Review Services and Section 8.10, Payment for Publicly Funded Vaccinations.

Individuals are eligible for Plan M coverage if they meet the eligibility requirements for coverage established in the Clinical Services policy, Medication Review Services policy or the Payment for Publicly Funded Vaccinations policy.

Plan M coverage cannot be provided retroactively.

Plan M covers the cost of clinical services, medication review services and publicly funded vaccination services provided by pharmacies up to the limits PharmaCare has established for these services.

>> For information on eligible benefits and limits, see Section 8.4, Clinical Services Fees; Section 8.9, Medication Review Services; and Section 8.10, Payment for Publicly Funded Vaccinations

 

Procedures

For procedural information for pharmacists, refer to Section 8.4, Clinical Services Fees; Section 8.9, Medication Review Services; and Section 8.10, Payment for Publicly Funded Vaccinations.