8.13 Payments for Patient Support Fees

General Policy Description

PharmaCare may occasionally announce an initiative or campaign that would benefit from pharmacists providing specific support or information to patients.

PharmaCare may pay pharmacists a fee for their support services during a campaign.

Policy Details

Payments to pharmacists

A Patient Support Fee is a fixed fee, with the dollar value for each campaign to be determined by PharmaCare.

The fee will be set up as a non-benefit Product Identification Number (PIN) to be adjudicated by an offline process with a monthly payment issued to each pharmacy. 

Only one support fee may be claimed per patient, per campaign.

When a Patient Support Fee is available, the details of the fee for the active campaign will be published on the Related Services List under Plan M (Medication Management).

​Patient eligibility

PharmaCare will identify the eligible patient cohort for each campaign.

Procedures

PharmaCare will determine the requirements for this fee for each campaign. Instructions for claiming any patient support fee will be announced in the PharmaCare Newsletter at the beginning of each campaign.