5.9 Retail Pricing Policy

General Policy Description

For certain products, PharmaCare covers the retail price of the product.

Policy Details

For products subject to the Retail Pricing Policy, PharmaCare reimburses the retail price of the product with no dispensing fee.

Products subject to this policy include the following:

• Insulin pump cartridges/reservoirs—reimbursed up to a maximum of the manufacturer's suggested retail price for the product with no dispensing fee
• Insulin pump infusion sets—reimbursed up to a maximum of the manufacturer's suggested retail price for the product with no dispensing fee
• Insulin (regular, long-acting, and short- (or rapid-) acting insulin analogues) —reimbursed at the regular retail price with no dispensing fee
• Needles/syringes for insulin therapy—reimbursed at the regular retail price with no dispensing fee
• Ostomy supplies—reimbursed at the regular retail price with no dispensing fee
• Plan W non-drug over-the-counter benefits—reimbursed at retail price up to the maximum retail price set by the First Nations Health Authority (FNHA) with no dispensing fee