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Home/Health/Practitioner & Professional Resources/BC PharmaCare for health professionals/Newsletter, manuals, pamphlets, reports/PharmaCare Policy Manual/5. Pricing Policies and Product Reimbursement

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  • PharmaCare Policy Manual
    • 1. Introduction to the BC PharmaCare Program
    • 2. Provider Enrolment in PharmaCare
    • 3. Claims Submission
    • 4. Offline (Manual) Claims
    • 5. Pricing Policies and Product Reimbursement
      • 5.1 Maximum Days Supply Policy
      • 5.2 Refilling Prescriptions Too Soon Policy
      • 5.3 Refilling Prescriptions on the Same Day Policy
      • 5.4 Travel Supply Policy
      • 5.5 Correct Quantities Policy
      • 5.6 Maximum Pricing Policy
      • 5.7 Actual Acquisition Cost Policy
      • 5.8 High-Cost Drugs Policy
      • 5.9 Retail Pricing Policy
      • 5.10 Full Payment Policy
      • 5.11 Low Cost Alternative Program
      • 5.12 Reference Drug Program
      • 5.13 Compounded Prescriptions
      • 5.14 Insulin
      • 5.15 Needles and Syringes
      • 5.16 Blood Glucose Testing
      • 5.17 Insulin Pumps
      • 5.18 Insulin Pump Supplies
      • 5.19 Reimbursement for Non-Returnable High-Cost Injectable Drugs
      • 5.20 Smoking Cessation Program Policy
      • 5.21 Ostomy Supplies
      • 5.22 Prosthetics and Orthotics
      • 5.23 Pricing Exceptions where Multiple Dosage Forms or Strengths are Available
      • 5.24 Drug Shortages
    • 6. Understanding PharmaCare Benefit Status
    • 7. Coverage Plans
    • 8. Pharmacy Fees, Subsidies, Provider Payment
    • 9. Privacy
    • 10. Audit
    • 11. Contacts for Practitioners and Providers

5. Pricing Policies and Product Reimbursement

Last updated on July 13, 2021
  • 5.1 Maximum Days Supply Policy
  • 5.2 Refilling Prescriptions Too Soon Policy
  • 5.3 Refilling Prescriptions on the Same Day Policy
  • 5.4 Travel Supply Policy
  • 5.5 Correct Quantities Policy
  • 5.6 Maximum Pricing Policy
  • 5.7 Actual Acquisition Cost Policy 
  • 5.8 High-Cost Drugs Policy
  • 5.9 Retail Pricing Policy
  • 5.10 Full Payment Policy
  • 5.11 Low Cost Alternative Program
  • 5.12 Reference Drug Program
  • 5.13 Compounded Prescriptions
  • 5.14 Insulin
  • 5.15 Needles and Syringes
  • 5.16 Blood Glucose Testing
  • 5.17 Insulin Pumps
  • 5.18 Insulin Pump Supplies
  • 5.19 Reimbursement for Non-Returnable High-Cost Injectable Drugs
  • 5.20 Smoking Cessation Program Policy
  • 5.21 Ostomy Supplies
  • 5.22 Prosthetics and Orthotics
  • 5.23 Pricing Exceptions where Multiple Dosage Forms or Strengths are Available
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