Patient Care During States of Emergency and Evacuations

States of emergency and evacuations create challenges for patients and pharmacies. For instance, evacuees may have left home without their medications, may need medication when they do not have a prescription, and may not have access to a doctor. 

Submitting claims at a pharmacy

Please see the appropriate section below for detailed instructions on submitting claims for patients affected by evacuation orders.

For more information about emergency supplies of medication, please refer to the College of Pharmacists of BC’s materials, including their summer 2021 article: BC Heat Wave – Accessing Medication and Providing Continuity of Care

For information about entering an emergency supply of medication into PharmaNet, please see Section 8.4 of the PharmaCare Policy Manual.

If the patient... Do the following: Notes

has more than 14 day supply remaining but requires an emergency supply exceeding that amount

Submit the claim and enter both the following intervention codes:

  • UF—Patient Gave Adequate Explanation & Filled as Written (to prevent a “CL–Exceeds Good Faith Limit”) response from PharmaNet.
  • NN—Emergency Supply of Medication

Be sure to adequately document the circumstances and reason for the use of the UF code in a manner accessible for audit purposes.

does not have an active prescription

Follow the College of Pharmacists of BC Professional Practice Policies:

If you determine that dispensing medication is appropriate, submit the claim:

  • In the PRACT ID Ref field, enter P1—College of Pharmacists of BC.
  • In the PRACT ID field, enter your own College ID.
  • NN— Emergency Supply of Medication

Be sure to adequately document the circumstances and reason for each use of the NN code in a manner accessible for audit purposes.

needs an extension of PharmaCare Special Authority approval for their drug

Contact the PharmaNet Help Desk. The Help Desk will forward your enquiry to a Special Authority team pharmacist.

Only extensions of previous Special Authorities can be considered.

 

If the patient... Do the following: Notes

does not have an active prescription, or original prescription is with another pharmacy

Follow the College of Pharmacists of BC Professional Practice Policies:

If you determine that dispensing medication is appropriate, submit the claim:

  • In the PRACT ID Ref field, enter P1—College of Pharmacists of BC.
  • In the PRACT ID field, enter your own College ID.
  • Enter two intervention codes:
    • UF—Patient Gave Adequate Explanation & Filled as Written (to prevent a “CL–Exceeds Good Faith Limit”) response from PharmaNet in case patient has more than a 14 day supply remaining
    • NN—Emergency Supply of Medication

Be sure to adequately document the circumstances and reason for each use of the NN code in a manner accessible for audit purposes.

needs an extension of PharmaCare Special Authority approval for their drug

Contact the PharmaNet Help Desk. The Help Desk will forward your enquiry to a Special Authority team pharmacist.

Only extensions of previous Special Authorities can be considered.

has a pharmacy restriction in PharmaNet

Call the PharmaNet Help Desk and request a temporary lifting of the restriction status.

 

 

 

Evacuations of long-term facilities (LTC) and PharmaCare Plan B

If a resident of a long-term care (LTC) facility is evacuated to a different facility, the pharmacy that provides pharmacy services to the “receiving facility” will ordinarily provide pharmacy services to the evacuee in the same way they provide pharmacy services for that facility’s residents. Continuity of care is crucial during this disruption, and PharmaCare will support the work of community pharmacies to assist evacuated residents, regardless of the Plan B status of their home facility.

Please see section 7.3 of the PharmaCare Policy Manual for full details regarding pharmacy services for LTC evacuees.

When requested to provide Plan B services to evacuees, the receiving pharmacy must email Health Insurance BC Information Support with information about:

  • How many evacuees they have been asked to provide services to
  • At what facility the evacuees are temporarily lodged, and
  • When the evacuees arrived (and from which facility, if known)

The receiving pharmacy must also inform HIBC by email with the above information when the pharmacy stops providing services upon the evacuees return to their home facility.

The receiving facility may need to arrange for a second pharmacy (the “additional appointed pharmacy”) to provide services to evacuees (i.e. in addition to the pharmacy that usually serves that facility). In this case, the receiving facility must complete an Additional Appointed Pharmacy for Long-Term Care (LTC) Evacuation form. For example, the receiving facility may request that the pharmacy that ordinarily serves the evacuees at their home facility (the “home pharmacy”) continue services for the evacuees.

The Additional Appointed Pharmacy for LTC Evacuation form:

  • Documents which pharmacy is responsible for pharmacy services for evacuees, and
  • Authorizes Plan B pharmacy payments related to evacuees

The receiving facility or the additional appointed pharmacy must contact Health Insurance BC Information Support to request an Additional Appointed Pharmacy for LTC Evacuation form.