5.18 Insulin Pump Supplies
Last updated on April 29, 2026General Policy Description
PharmaCare covers insulin pump pods, infusion sets/kits and reservoirs/cartridges.
Policy details
Plan coverage
PharmaCare covers insulin pump pods, infusion sets/kits and reservoirs/cartridges under:
- Fair PharmaCare
- Plan B (Long-term Care)
- Plan C (Income Assistance and Family Services)
- Plan F (Children in the At Home Program)
- Plan W (First Nations Health Benefits)
Coverage is available whether or not the cost of the insulin pump was covered by PharmaCare.
PharmaCare Special Authority pre-approval is not required for insulin pump supplies.
Supplies covered by PharmaCare
PharmaCare covers only the insulin pump pods, infusion sets/kits and reservoirs/cartridges listed on the Insulin Pump Supplies web page.
PharmaCare does not cover other insulin pump supplies, such as batteries, battery caps, adhesive pads, pump covers, etc.
Purchasing and reimbursement
PharmaCare reimburses claims for eligible insulin pump supplies purchased from pharmacies and approved insulin pump vendors who submit claims in PharmaNet.
PharmaCare does not accept paper/manual claims for insulin pump supplies. Exceptions may apply for clients living in border communities who are served by an out-of-province pharmacy that is enrolled as a PharmaCare provider.
Insulin pump supplies are reimbursed at retail price up to the PharmaCare maximum allowable cost for the product with no dispensing fee.
Pharmacies and insulin pump supply vendors must use the correct Product Identification Number (PIN) and unit of measure for the dispensed quantity when entering claims in PharmaNet.
For correct quantity information and insulin pump supply PINs, refer to Insulin Pump Supplies.
Full Payment Policy does not apply to insulin pumps (or supplies) as per Section 5.10: Full Payment Policy.