5.5 Correct Quantities Policy

General Policy Description

Pharmacies must use the correct dispensed quantity when entering a claim in PharmaNet for the claim to adjudicate accurately.

Policy Details

When entering a claim in PharmaNet, pharmacies should use the unit of measure for the dispensed quantity matches the one recognized in PharmaNet. Using the correct unit of measure will ensure accurate adjudication of the claim.

Claims that adjudicate for an incorrect dispensed quantity are subject to recovery by PharmaCare.

Procedures

Pharmacies may refer to Correct quantities for PharmaCare claims for the quantities to enter for particular products. The BC PharmaCare Formulary Search also provides the units of measure for products.

Pharmacies may also contact the PharmaNet Help Desk for help determining correct quantities for claims.

Pharmacies may suggest additions to this list by sending an email to pharma@gov.bc.ca. 

Procedures for entering correct quantities are explained in Section 3.13—Correct Quantities.