This page lists the 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 $65.00 per month |
Compounding prescriptions |
The maximum compounding charges that PharmaCare will reimburse are as follows:
- CADD injections: $20.00
- capsules: $0.30 per capsule
- creams/ointments/lotions:
- total volume: < or equal to 250 gm/mL: $15.00
- total volume: > or equal to 251 gm/mL: $20.00
- intrathecal injections: $40.00
- oral lozenges: $40.00 per 10 day or greater order*
- oral suspensions: $20.00
- sterile eye drops, non-preserved: $30.00
- sterile IV, IM, SC injections: $20.00
- 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:
- CADD injections: $20.00
- capsules: $0.30 per capsule
- creams/ointments/lotions:
- total volume: < or equal to 250 gm/mL: $15.00
- total volume: > or equal to 251 gm/mL: $20.00
- intrathecal injections: $40.00
- oral lozenges: $40.00 per 10 day or greater order*
- oral suspensions: $20.00
- sterile eye drops, non-preserved: $30.00
- sterile IV, IM, SC injections: $20.00
- 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:
- CADD injections: $20.00
- capsules: $0.30 per capsule
- creams/ointments/lotions:
- total volume: < or equal to 250 gm/mL: $15.00
- total volume: > or equal to 251 gm/mL: $20.00
- intrathecal injections: $40.00
- oral lozenges: $40.00 per 10 day or greater order*
- oral suspensions: $20.00
- sterile eye drops, non-preserved: $30.00
- sterile IV, IM, SC injections: $20.00
- 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:
- CADD injections: $20.00
- capsules: $0.30 per capsule
- creams/ointments/lotions:
- total volume: < or equal to 250 gm/mL: $15.00
- total volume: > or equal to 251 gm/mL: $20.00
- intrathecal injections: $40.00
- oral lozenges: $40.00 per 10 day or greater order*
- oral suspensions: $20.00
- sterile eye drops, non-preserved: $30.00
- sterile IV, IM, SC injections: $20.00
- 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 |
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:
- CADD injections: $20.00
- capsules: $0.30 per capsule
- creams/ointments/lotions:
- total volume: < or equal to 250 gm/mL: $15.00
- total volume: > or equal to 251 gm/mL: $20.00
- intrathecal injections: $40.00
- oral lozenges: $40.00 per 10 day or greater order*
- oral suspensions: $20.00
- sterile eye drops, non-preserved: $30.00
- sterile IV, IM, SC injections: $20.00
- 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) |
Prescription adaptation |
$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 |
Minor Ailments and Contraception Service (MACS) |
$20.00 |
MACS PINs |
Biosimilars patient support fee for pharmacists |
$15.00 |
66128494 |
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:
- CADD injections: $20.00
- capsules: $0.30 per capsule
- creams/ointments/lotions:
- total volume: < or equal to 250 gm/mL: $15.00
- total volume: > or equal to 251 gm/mL: $20.00
- intrathecal injections: $40.00
- oral lozenges: $40.00 per 10 day or greater order*
- oral suspensions: $20.00
- sterile eye drops, non-preserved: $30.00
- sterile IV, IM, SC injections: $20.00
- 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. |
Compounding prescriptions |
The maximum compounding charges that PharmaCare will reimburse are as follows:
- CADD injections: $20.00
- capsules: $0.30 per capsule
- creams/ointments/lotions:
- total volume: < or equal to 250 gm/mL: $15.00
- total volume: > or equal to 251 gm/mL: $20.00
- intrathecal injections: $40.00
- oral lozenges: $40.00 per 10 day or greater order*
- oral suspensions: $20.00
- sterile eye drops, non-preserved: $30.00
- sterile IV, IM, SC injections: $20.00
- 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 |
Clinical service fee for MAiD IV kit |
$100 |
Clinical service fee for MAiD oral kit |
$60 |
Methadone interaction |
$7.70 |
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. |