Related services list

Last updated: January 3, 2023

This page contains the list of related services that are benefits under PharmaCare's drug plans.

 On this page:


Related Services List for Plan B (Long-term Care)

Related Service Fee
Pharmacy services for Plan B beneficiaries associated with PharmaCare drug benefits. These include:
  • Dispensing
  • Medication review services
  • Special services/professional intervention
Capitation fee of $43.75 per month
Compounding prescriptions The maximum compounding charges that PharmaCare will reimburse are as follows:
  1. CADD injections: $20.00
  2. capsules: $0.30 per capsule
  3. creams/ointments/lotions:
    1. total volume: < or equal to 250 gm/mL: $15.00
    2. total volume: > or equal to 251 gm/mL: $20.00
  4. intrathecal injections: $40.00
  5. oral lozenges: $40.00 per 10 day or greater order*
  6. oral suspensions: $20.00
  7. sterile eye drops, non-preserved: $30.00
  8. sterile IV, IM, SC injections: $20.00
  9. suppositories: $40.00 per 10 day or greater order*
*Compounding charges for suppository and oral lozenge orders for a days supply of less than 10 days must be pro-rated at $4.00 per day.

Related Services List for Plan C (Income Assistance)

Related Service Fee
Dispensing $10.00 maximum
Rural Incentive Program $3 to $10.50
Professional intervention Twice the amount of the pharmacy's normal PharmaCare dispensing fee at the time of the dispensing request up to a maximum of twice the current PharmaCare maximum dispensing fee.
Methadone interaction $7.70
Compounding prescriptions The maximum compounding charges that PharmaCare will reimburse are as follows:
  1. CADD injections: $20.00
  2. capsules: $0.30 per capsule
  3. creams/ointments/lotions:
    1. total volume: < or equal to 250 gm/mL: $15.00
    2. total volume: > or equal to 251 gm/mL: $20.00
  4. intrathecal injections: $40.00
  5. oral lozenges: $40.00 per 10 day or greater order*
  6. oral suspensions: $20.00
  7. sterile eye drops, non-preserved: $30.00
  8. sterile IV, IM, SC injections: $20.00
  9. suppositories: $40.00 per 10 day or greater order*
*Compounding charges for suppository and oral lozenge orders for a days supply of less than 10 days must be pro-rated at $4.00 per day.

Related Services List for Plan D (Cystic Fibrosis)

Related Service Fee
Dispensing $10.00 maximum
Rural Incentive Program $3 to $10.50
Professional intervention Twice the amount of the pharmacy's normal PharmaCare dispensing fee at the time of the dispensing request up to a maximum of twice the current PharmaCare maximum dispensing fee.

Related Services List for Plan F (Children in the At Home Program)

Related Service Fee
Dispensing $10.00 maximum
Rural Incentive Program $3 to $10.50
Professional intervention Twice the amount of the pharmacy's normal PharmaCare dispensing fee at the time of the dispensing request up to a maximum of twice the current PharmaCare maximum dispensing fee.
Compounding prescriptions The maximum compounding charges that PharmaCare will reimburse are as follows:
  1. CADD injections: $20.00
  2. capsules: $0.30 per capsule
  3. creams/ointments/lotions:
    1. total volume: < or equal to 250 gm/mL: $15.00
    2. total volume: > or equal to 251 gm/mL: $20.00
  4. intrathecal injections: $40.00
  5. oral lozenges: $40.00 per 10 day or greater order*
  6. oral suspensions: $20.00
  7. sterile eye drops, non-preserved: $30.00
  8. sterile IV, IM, SC injections: $20.00
  9. suppositories: $40.00 per 10 day or greater order*
*Compounding charges for suppository and oral lozenge orders for a days supply of less than 10 days must be pro-rated at $4.00 per day.

Related Services List for Plan G (Psychiatric Medications)

Related Service Fee
Dispensing $10.00 maximum
Rural Incentive Program $3 to $10.50
Methadone interaction $7.70
Professional intervention Twice the amount of the pharmacy's normal PharmaCare dispensing fee at the time of the dispensing request up to a maximum of twice the current PharmaCare maximum dispensing fee.
Compounding prescriptions The maximum compounding charges that PharmaCare will reimburse are as follows:
  1. CADD injections: $20.00
  2. capsules: $0.30 per capsule
  3. creams/ointments/lotions:
    1. total volume: < or equal to 250 gm/mL: $15.00
    2. total volume: > or equal to 251 gm/mL: $20.00
  4. intrathecal injections: $40.00
  5. oral lozenges: $40.00 per 10 day or greater order*
  6. oral suspensions: $20.00
  7. sterile eye drops, non-preserved: $30.00
  8. sterile IV, IM, SC injections: $20.00
  9. suppositories: $40.00 per 10 day or greater order*
*Compounding charges for suppository and oral lozenge orders for a days supply of less than 10 days must be pro-rated at $4.00 per day.

Related Services List for Plan I (Fair PharmaCare)

Related Service Fee
Dispensing $10.00 maximum
Rural Incentive Program $3 to $10.50
Methadone interaction $7.70
Professional intervention Twice the amount of the pharmacy's normal PharmaCare dispensing fee at the time of the dispensing request up to a maximum of twice the current PharmaCare maximum dispensing fee.
Compounding prescriptions The maximum compounding charges that PharmaCare will reimburse are as follows:
  1. CADD injections: $20.00
  2. capsules: $0.30 per capsule
  3. creams/ointments/lotions:
    1. total volume: < or equal to 250 gm/mL: $15.00
    2. total volume: > or equal to 251 gm/mL: $20.00
  4. intrathecal injections: $40.00
  5. oral lozenges: $40.00 per 10 day or greater order*
  6. oral suspensions: $20.00
  7. sterile eye drops, non-preserved: $30.00
  8. sterile IV, IM, SC injections: $20.00
  9. suppositories: $40.00 per 10 day or greater order*
*Compounding charges for suppository and oral lozenge orders for a days supply of less than 10 days must be pro-rated at $4.00 per day.

Related Services List for Plan M (Medication Management)

Related Service Fee PIN (some Plan M services have PINs)
Clinical services $10.00 for a prescription renewal
$10.00 for changing the prescribed dosage, formulation, or regimen
$17.20 for a therapeutic substitution
 
Primary medication review Medication Review Standard: $60.00
Medication Review Pharmacist Consultation: $70.00
99000501
99000502
Follow-up medication review $15.00 99000503
Non-benefit medication review $0.00 99000504
Primary Care Network medication review $0.00 99000505
Administration of publicly funded vaccines (non-COVID-19) $12.10  
Administration of publicly funded vaccines - COVID-19 $18.00  
Drug administration fee $11.41 66128366
Paxlovid clinical assessment fee (PAX-A) $30.00 66128340
Paxlovid patient support follow-up fee for pharmacists (PAX-F) $25.00 66128313
Biosimilars patient support fee for pharmacists $15.00  66128298

Related Services List for Plan P (Palliative Care)

Related Service Fee
Dispensing $10.00 maximum
Rural Incentive Program $3 to $10.50
Professional intervention Twice the amount of the pharmacy's normal PharmaCare dispensing fee at the time of the dispensing request up to a maximum of twice the current PharmaCare maximum dispensing fee.
Methadone interaction $7.70
Compounding prescriptions The maximum compounding charges that PharmaCare will reimburse are as follows:
  1. CADD injections: $20.00
  2. capsules: $0.30 per capsule
  3. creams/ointments/lotions:
    1. total volume: < or equal to 250 gm/mL: $15.00
    2. total volume: > or equal to 251 gm/mL: $20.00
  4. intrathecal injections: $40.00
  5. oral lozenges: $40.00 per 10 day or greater order*
  6. oral suspensions: $20.00
  7. sterile eye drops, non-preserved: $30.00
  8. sterile IV, IM, SC injections: $20.00
  9. suppositories: $40.00 per 10 day or greater order*
*Compounding charges for suppository and oral lozenge orders for a days supply of less than 10 days must be pro-rated at $4.00 per day.

Related Services List for Plan S (Smoking Cessation)

Related Service Fee
Dispensing $10.00 maximum

Related Services List for Plan W (First Nations Health Benefits)

Related Service Fee
Dispensing $10.00 maximum
Rural Incentive Program $3 to $10.50
Professional intervention Twice the amount of the pharmacy's normal PharmaCare dispensing fee at the time of the dispensing request up to a maximum of twice the current PharmaCare maximum dispensing fee.
Methadone interaction $7.70
Compounding prescriptions The maximum compounding charges that PharmaCare will reimburse are as follows:
  1. CADD injections: $20.00
  2. capsules: $0.30 per capsule
  3. creams/ointments/lotions:
    1. total volume: < or equal to 250 gm/mL: $15.00
    2. total volume: > or equal to 251 gm/mL: $20.00
  4. intrathecal injections: $40.00
  5. oral lozenges: $40.00 per 10 day or greater order*
  6. oral suspensions: $20.00
  7. sterile eye drops, non-preserved: $30.00
  8. sterile IV, IM, SC injections: $20.00
  9. suppositories: $40.00 per 10 day or greater order*
*Compounding charges for suppository and oral lozenge orders for a days supply of less than 10 days must be pro-rated at $4.00 per day.

Related Services List for Plan X (HIV/AIDS)

Related Service Fee
None -

Related Services List for Plan Z (Assurance)

Related Service Fee
Dispensing $10 maximum
Rural Incentive Program $3 to $10.50
Professional intervention Twice the amount of the pharmacy's normal PharmaCare dispensing fee at the time of the dispensing request up to a maximum of twice the current PharmaCare maximum dispensing fee.