This page lists product identification numbers (PINs) created by PharmaCare to allow claims to be adjudicated in PharmaNet when:
Publicly funded vaccines PINs
Prosthetic & Orthotic PINs
Drug shortages PINs (for drugs covered during shortages)
On this page:
Pharmacy service | Fee amount | PIN |
---|---|---|
Drug administration | $11.41 | 66128366 |
RAT kit distribution | $75 per case | 66128325 for BTNX kits; 66128338 for Artron kits |
Medication reviews | see more | see more |
Methadone interaction | see more | see more |
Before submitting requests for PharmaCare coverage of ANY compound, pharmacists must ensure that the request complies with the Compounded Prescriptions Policy as laid out in the Compounded Prescriptions — Section 5.13, PharmaCare Policy Manual. Any amounts paid out by PharmaCare for compounds that do not comply with this policy are subject to recovery.
For exceptional coverage of a compound not listed here, please refer to Compounded Prescriptions — Section 5.13, PharmaCare Policy Manual.
All compounds—whether a PharmaCare benefit or not—must be submitted in PharmaNet using the appropriate PIN.
If you are unsure which PIN to use for the prescribed compound or if the patient meets criteria, please contact the PharmaNet HelpDesk before submitting the claim on PharmaNet.
Press CTRL+F to search for keywords in the tables below.
The table below establishes maximum fees for both eligible compounds and for compounds approved via Special Authority. The inclusion of a fee for a particular type of compound in the schedule below, therefore, does not necessarily confer coverage.
The table below establishes maximum fees for both benefit compounds and for compounds approved via Special Authority, which would otherwise be a non-benefit. The inclusion of a fee for a particular type of compound in the schedule below, therefore, does not necessarily confer benefit status.
Compound | Maximum Allowable Compounding Fee |
---|---|
Oral solutions | $20.00 |
Oral suspensions | $20.00 |
Capsules | $0.30 per capsule |
Suppositories | $40.00 for a minimum 10-day supply. Prescriptions for less than 10-day supply are prorated to maximum $4.00 per day. |
Oral lozenges | $40.00 for a minimum 10-day supply. Prescriptions for less than 10-day supply are prorated to maximum $4.00 per day. |
CADD injections | $20.00 |
Sterile IV, IM, SC injections | $20.00 |
Intrathecal injections | $40.00 |
Creams/ointments/lotions < or = 250 g/mL | $15.00 |
Creams/ointments/lotions > or = 251 g/mL | $20.00 |
Sterile eye drops, preservative free | $30.00 |
All eligible compound PINs have criteria. Additionally, compounds containing active ingredients that are subject to Special Authority will require Special Authority approval.
The maximum compounding fee for oral suspensions is $20 per compound. For the list of eligible bases, see below this table.
Oral suspensions | Compound criteria | Special Authority required | PIN |
---|---|---|---|
acetazolamide | Yes | No | 22123223 |
allopurinol | Yes | No | 22123307 |
alprazolam | Yes | No | 22123308 |
amiloride | Yes | No | 22123309 |
amiodarone | Yes | No | 22123310 |
amitriptyline | Yes | No | 22123224 |
aripiprazole | Yes | Yes | 22123272 |
atenolol | Yes | No | 22123225 |
azathioprine | Yes | No | 22123236 |
baclofen | Yes | No | 22123226 |
bisoprolol | Yes | No | 22123227 |
captopril | Yes | No | 22123228 |
carvedilol | Yes | Yes, except for Plan P | 22123265 |
cisapride | Yes | Yes | 22123195 |
citalopram | Yes | No | 22123229 |
clobazam | Yes | No | 22123230 |
clonazepam | Yes | No | 22123231 |
clonidine | Yes | No | 22123232 |
clozapine | Yes | No | 22123233 |
cyclobenzaprine | Yes | No | 22123234 |
dantrolene | Yes | No | 22123235 |
diazepam | Yes | No | 22123237 |
domperidone | Yes | No | 22123238 |
enalapril | Yes | No | 22123239 |
escitalopram | Yes | No | 22123240 |
esomeprazole | Yes | Yes | 22123271 |
felodipine | Yes | No | 22123241 |
folic acid | Yes | No | 22123242 |
gabapentin | Yes | Yes, only for Plan G | 22123243 |
glycopyrrolate | Yes | No | 22123302 |
griseofulvin | Yes | No | 22123244 |
hydrochlorothiazide | Yes | No | 22123245 |
hydroxyurea | Yes | Yes, only for Plan G | 22123270 |
hyoscine | Yes | No | 22123298 |
labetalol | Yes | No | 22123312 |
lamotrigine | Yes | No | 22123246 |
lansoprazole | Yes | Yes | 22123269 |
leflunomide | Yes | Yes | 22123273 |
levo-thyroxine | Yes | No | 22123247 |
lisinopril | Yes | No | 22123313 |
lorazepam | Yes | No | 22123248 |
methylphenidate | Yes | No | 22123249 |
metoprolol | Yes | No | 22123250 |
metronidazole | Yes | No | 22123251 |
nitrazepam | Yes | No | 22123314 |
nitrofurantoin | Yes | No | 22123252 |
nortriptyline | Yes | No | 22123253 |
omeprazole | Yes | Yes | 22123268 |
oxazepam | Yes | No | 22123254 |
pantoprazole sod | Yes | Yes | 22123315 |
paroxetine | Yes | No | 22123255 |
propranolol | Yes | No | 22123316 |
quetiapine | Yes | No | 22123257 |
ramipril | Yes | No | 22123256 |
rifampin | Yes | No | 22123317 |
sertraline | Yes | No | 22123258 |
sildenafil | Yes | Yes | 22123318 |
sotalol | Yes | No | 22123259 |
spironolactone | Yes | No | 22123260 |
sulfasalazine | Yes | No | 22123261 |
tacrolimus | Yes | No | 22123266 |
temazepam | Yes | No | 22123262 |
topiramate | Yes | No | 22123319 |
trazodone | Yes | No | 22123263 |
ursodiol | Yes | No | 22123264 |
vancomycin | Yes | Yes | 22123320 |
zopiclone | Yes | Yes | 22123274 |
Eligible bases for compounded oral suspensions include—but are not limited to—the following:
SF = sugar-free
* = either in-store made (stock solution) or commercially available product
If a vehicle or base is not listed above, please contact the PharmaNet Help Desk to determine whether the base is eligible for coverage before submitting a claim.
Note: Stock solutions are not eligible for a separate compound fee. Please see Maximum Allowable Costs and Fees, Stock Solutions.
Dermatological compounds may be processed under a PIN from the table below only if
Topical antifungals and retinoic acid also require a current Special Authority for the active ingredient, with the exception of an eligible topical antifungal for a Palliative Care registered patient (Plan P).
The maximum compounding fee for dermatologicals is $15 up to 250 gm/mL, and $20 over 250 gm/mL.
Dermatologicals | Compound criteria | Special Authority required | PIN |
---|---|---|---|
anthralin + salicyclic acid ointment (psoriasis/eczema) | Yes | No | 22123277 |
clindamycin in medicated/non-medicated benefit base | Yes | No | 22123280 |
coal tar/LCD in medicated/non-medicated benefit base | Yes | No | 22123305 |
corticosteroid in non-medicated benefit base | Yes | No | 22123283 |
corticosteroid in medicated benefit base | Yes | No | 22123303 |
corticosteroid + antifungal in benefit base | Yes | Yes, except for Plan P | 22123286 |
corticosteroid with at least one of the following: menthol, camphor, urea topical compound | Yes | No | 22123278 |
erythromycin in medicated/non-medicated benefit base | Yes | No | 22123279 |
metronidazole in medicated/non-medicated benefit base | Yes | No | 22123281 |
retinoic acid in medicated/non-medicated benefit base | Yes | Yes | 22123304 |
salicyclic acid ointment/cream (psoriasis/eczema) | Yes | No | 22123284 |
salicyclic acid + corticosteroid ointment/cream (psoriasis/eczema) | Yes | No | 22123285 |
sulfur/sulfacetamide in medicated benefit base | Yes | No | 22123282 |
urea (only in combination with at least one prescription benefit ingredient) | Yes | No | 22123337 |
Eligible non-medicated bases include—but are not limited to—the following:
​ For more information about eligible bases, please contact the PharmaNet Help Desk.
Mouth rinses | Special Authority required | PIN |
---|---|---|
corticosteroid with nystatin, diphenhydramine and tetracycline | Yes, except for Plan P registered patients | 22123332 |
corticosteroid with nystatin, diphenhydramine, tetracycline and lidocaine | Yes, except for Plan P registered patients | 22123333 |
corticosteroid with nystatin and diphenhydramine | Yes, except for Plan P registered patients or prescriptions written by an exempted prescriber. | 22123334 |
corticosteroid with nystatin and lidocaine, with or without glycerin | Yes, except for Plan P registered patients | 22123335 |
Repackaging a prescribed benefit injectable analgesic, or a Special Authority approved medication for intrathecal administration is only a benefit compound under a PIN from the table below when a patient is registered under the PharmaCare Palliative Care Drug Plan (Plan P).
Intrathecal Analgesics—Palliative | Compound criteria | Special Authority required | PIN |
---|---|---|---|
narcotic | Yes | No | 22123299 |
non-narcotic | Yes | No | 22123300 |
narcotic and non-narcotic | Yes | No | 22123301 |
Repackaging a prescribed injectable benefit analgesic into a continuous ambulatory delivery device (CADD) pump is only a benefit compound under a PIN from the table below when a patient is registered under the PharmaCare Palliative Care Drug Plan (Plan P).
CADD Injections—Palliative | Compound criteria | Special Authority required | PIN |
---|---|---|---|
non-narcotic | Yes | No | 22123287 |
narcotic | Yes | No | 22123288 |
controlled | Yes | No | 22123371 |
Medical Assistance in Dying (MAiD) | Special Authority required | PIN |
---|---|---|
phenobarbital/chloral hydrate/morphine sulphate suspension | No | 88000002 |
secobarbital suspension | No | 88000003 |
Preservative-free sterile eye drops may only be processed under a PIN from the table below when an ophthalmologist has documented the patient’s allergy to specified preservative(s) in commercially available eye drops on the compound prescription.
The maximum compounding fee for eye drops is $30.
Preservative-free eyedrops | Compound criteria | Special Authority required | PIN |
---|---|---|---|
acetylcysteine | Yes | No | 22123289 |
amphotericin | Yes | No | 22123290 |
cefazolin | Yes | No | 22123291 |
ceftazidime | Yes | No | 22123292 |
gentamicin | Yes | No | 22123293 |
pilocarpine | Yes | No | 22123294 |
timolol | Yes | No | 22123295 |
tobramycin | Yes | No | 22123296 |
vancomycin | Yes | No | 22123297 |
Other compounds | Special Authority required | PIN |
---|---|---|
disulfiram 125 mg capsule | No | 66124089 |
disulfiram 250 mg capsule | No | 66124085 |
disulfiram 500 mg capsule | No | 66124087 |
prostaglandin injection | Yes | 66123910 |
papaverine in combination with phentolamine OR prostaglandin in combination with papaverine or phentolamine (BiMix) injection | Yes | 66123495 |
prostaglandin in combination with papaverine and phentolamine (TriMix) injection | Yes | 66123483 |
saturated potassium iodide solution | No | 999113 |
For all non-benefit compounds, use the appropriate PINs in the table below.
If you are unsure whether a compound may be processed under an eligible PIN, please contact the PharmaNet HelpDesk before submitting the claim on PharmaNet.
Non-Benefit compounds | PIN |
---|---|
compound preparations (non-benefit) | 66123252 |
controlled compound (non-benefit) | 66124162 |
narcotic compound (non-benefit) | 66123367 |
topical anti-fungal compounded (non-benefit) | 66124164 |
hormone injection compound (non-benefit) | 66128214 |
hormone injection controlled compound (non-benefit) | 66128215 |
hormone oral compound (non-benefit) | 66128216 |
hormone oral controlled compound (non-benefit) | 66128217 |
hormone topical compound (non-benefit) | 66128218 |
hormone topical controlled compound (non-benefit) | 66128219 |
NSAID Topical compound (non-benefit) | 66128220 |
medicinal alcohol (non-benefit) | 66123239 |
All Purpose Nipple Ointment (APNO) (mupirocin 2%, betamethasone 0.1%, miconazole 2% in ointment base) | 22123354 |
PharmaNet records show the following PINs are still being utilized to submit compound claims. Please refer to the Compounded Prescriptions Policy for eligibility requirements and the eligible PIN list for a suitable replacement.
If there isn’t an eligible PIN for the compound being prepared (where the patient meets the compound criteria) and there is no suitable non-benefit PIN from the table above, please contact the PharmaNet HelpDesk.
Discontinued compounds | PIN |
---|---|
narcotic compound (non-benefit) | 999776 |
compounded lotion | 842443 |
compounded ointment/cream | 842435 |
compounded mixture | 921297 |
Product | PIN |
---|---|
FLEXI-T 300 IUD | 66127954 |
FLEXI-T +300 IUD | 66128087 |
FLEXI-T +380 IUD | 66128088 |
LIBERTE UT380 short | 66128089 |
LIBERTE UT380 standard | 66128090 |
LIBERTE TT380 short | 66128091 |
LIBERTE TT380 standard | 66128092 |
LIBERTE UT 380 Silver-Copper Standard | 66128387 |
LIBERTE UT 380 Silver-Copper Short | 66128388 |
MONA LISA 10 | 66128153 |
MONA LISA 5 Mini | 66128154 |
MONA LISA 5 Standard | 66128390 |
MONA LISA N | 6612815 |
IUD exceptional | 11200017 |
The Cystic Fibrosis Plan (Plan D) covers the items listed below:
For more information on reimbursement for these products, see the Cystic Fibrosis (Plan D) — Section 7.5, PharmaCare Policy Manual.
Press CTRL+F to search for keywords in the tables below.
Product | PIN/DIN |
---|---|
Cotazym | 263818 |
Cotazym ECS 8 | 502790 |
Cotazym ECS 20 | 821373 |
Creon 5 Minimicrospheres | 2239007 |
Creon 6 Minimicrospheres | 80025653 |
Creon 10 Minimicrospheres | 2200104 |
Creon 25 Minimicrospheres | 1985205 |
Creon 35 (CF use only) | 55123655 |
Creon MICRO | 02445158 |
Pancrease MT 4 | 789445 |
Pancrease MT 10 | 789437 |
Pancrease MT 16 | 789429 |
Product | PIN/DIN |
---|---|
AquADEKs chewable tablets | 55123625 |
AquADEKs gel capsules | 55123626 |
AquADEKs liquid | 55123627 |
Boost liquid | 55123120 |
Boost Plus liquid | 55123132 |
Boost fruit-flavoured beverage | 55123631 |
Calcium tablets | 55123430 |
Calcium liquid | 55123624 |
Carnation Breakfast Anytime powder | 55123632 |
Carnation Breakfast Anytime liquid | 55123633 |
Centrum | 55123510 |
Centrum Forte Essentials | 55123651 |
Ensure High Protein | 55123102 |
Ensure liquid | 55123144 |
Ensure Plus liquid | 55123156 |
Ferrous Gluconate tablets | 55123442 |
Ferrous sulphate tablets | 55123570 |
Ferrous sulphate solution | 55123634 |
Ferrous sulphate infant drops | 55123635 |
Ferrous fumarate tablets | 55123636 |
Ferrous fumarate solution | 55123637 |
Glucerna liquid | 55123114 |
Glucerna bar | 55123641 |
Magnesium | 55123454 |
Multivitamin mineral tablets | 55123375 |
Multivitamin liquid/drops | 55123600 |
Multivitamin tablets | 55123363 |
Multivitamin chewable tablets | 55123569 |
MVW Complete Formulation chewables | 55123645 |
MVW Complete Formulation pediatric drops | 55123648 |
MVW Complete Formulation soft gels | 55123646 |
MVW Complete Formulation D3000 soft gels | 55123647 |
Nutrisource HN liquid | 55123235 |
Osmolite 1.0 Cal | 55123638 |
Osmolite 1.2 Cal | 55123639 |
PediaSure liquid | 55123170 |
PediaSure Plus liquid | 55123640 |
PediaSure Complete | 55123652 |
PEPTAMEN Junior 1.5 unflavoured Prebio | 55123649 |
Puramino A+ | 55123653 |
Puramino A+ Junior | 55123654 |
Resource Diabetic | 55123642 |
Resource 2.0 | 55123110 |
Resource Just For Kids 1.5 Kcal | 55123112 |
Scandipharm shakes | 55123508 |
Source CF chewable tablets | 55123628 |
Source CF gel capsules | 55123629 |
Source CF liquid | 55123630 |
Vitamin D3 10000IU | 55123650 |
Vitamin E 100 | 55123399 |
Vitamin E 200 | 55123405 |
Vitamin E 400 | 55123417 |
Vitamin E drops | 55123594 |
Vitamin K | 55123429 |
Zinc 10 mg | 55123478 |
Zinc 50 mg | 55123582 |
Product | PIN/DIN |
---|---|
Hypertonic saline (Hyper-Sal) 7% | 80029414 |
Hypertonic saline (Nebusal) 7% | 80029758 |
Sterile normal saline for injection (sodium chloride 0.9%) | 55123643 |
Sterile water for injection | 55123644 |
Providers—when submitting a claim, use either
Press CTRL+F to search for keywords in the tables below.
Use these PINs when a patient has not exceeded their annual limit.
Product | PIN |
---|---|
Accu-Check Advantage | 44123021 |
Accu-Chek Aviva | 44123033 |
Accu-Chek Compact | 44123026 |
Accu-Chek Guide | 44123064 |
Accu-Chek Mobile | 44123046 |
Allevia Plus | 44123063 |
Bayer Contour Next | 44123051 |
BGStar | 44123047 |
Bravo™ | 44123056 |
Breeze 2 | 44123038 |
CareSens N | 44123059 |
Contour | 44123037 |
D360 | 44123065 |
Dario | 44123060 |
EZ Health Oracle | 44123044 |
FORA Test N’ Go blood glucose test strips | 44123058 |
FreeStyle | 44123028 |
FreeStyle Lite | 44123040 |
FreeStyle Precision | 44123053 |
GE200 | 44123055 |
iTest | 44123034 |
Medi+Sure | 44123052 |
Nova Max | 44123043 |
On Call Plus | 44123042 |
On Call Vivid | 44123062 |
One Touch Ultra | 44123025 |
OneTouch Verio | 44123049 |
Precision Extra | 44123024 |
Prestige | 44123029 |
Rightest GS100 | 44123048 |
Sidekick | 44123035 |
Spirit | 44123061 |
SURETEST | 44123057 |
TRUEtest | 44123045 |
True Track | 44123036 |
Use these PINs when a patient has Special Authority coverage for additional blood glucose test strips for the current calendar year:
Product | PIN |
---|---|
Accu-Check Advantage +100 | 48123021 |
Accu-Chek Aviva +100 | 48123033 |
Accu-Chek Compact +100 | 48123026 |
Accu-Chek Guide | 48123064 |
Accu-Chek Mobile +100 | 48123046 |
Allevia Plus | 48123063 |
Bayer Contour Next +100 | 48123051 |
BGStar +100 | 48123047 |
Bravo™ +100 | 48123056 |
Breeze 2 +100 | 48123038 |
CareSens N +100 | 48123059 |
Contour +100 | 48123037 |
D360 +100 | 48123065 |
Dario +100 | 48123060 |
EZ Health Oracle +100 | 48123044 |
FORA Test N’ Go blood glucose test strips +100 | 48123058 |
FreeStyle +100 | 48123028 |
FreeStyle Lite +100 | 48123040 |
FreeStyle Precision +100 | 48123053 |
GE200 +100 | 48123055 |
iTest +100 | 48123034 |
Medi+Sure +100 | 48123052 |
Nova Max +100 | 48123043 |
On Call Plus +100 | 48123042 |
On Call Vivid +100 | 48123062 |
One Touch Ultra +100 | 48123025 |
OneTouch Verio +100 | 48123049 |
Precision Extra +100 | 48123024 |
Prestige +100 | 48123029 |
Rightest GS100 +100 | 48123048 |
Sidekick +100 | 48123035 |
Spirit +100 | 48123061 |
SURETEST +100 | 48123057 |
TRUEtest +100 | 48123045 |
True Track +100 | 48123036 |
Use these PINs for the continuous glucose monitor sensor and transmitter.
Note: Special Authority is needed for PharmaCare to cover a CGM.
Product | PIN |
---|---|
Dexcom G6® Sensor | 43120002 |
Dexcom G6® Transmitter | 43120003 |
Dexcom G7® Receiver | 43120006 |
Dexcom G7® Sensor | 43120007 |
Use these PINs for the flash glucose monitor sensor and reader.
Note: Special Authority is needed for PharmaCare to cover a FGM.
Product | PIN |
---|---|
FreeStyle Libre 2® Sensor | 43120004 |
FreeStyle Libre 2® Reader | 43120005 |
These insulin pump PINs are provided for use by approved vendors submitting claims to PharmaCare.
Product | PIN |
---|---|
TIER 1 | |
Omnipod Personal Diabetes Manager (PDM) CAT45E English | 45230011 |
Omnipod Personal Diabetes Manager (PDM) CAT45F French | 45230012 |
YpsoPump starter kit | 45230016 |
Omnipod Dash Personal Diabetes Manager (PDM) | 45230017 |
Omnipod Dash Personal Diabetes Manager (PDM) Kit | 45230018 |
TIER 2 | |
MiniMed 670G | 45230015 |
MiniMed 770G | 45230019 |
MiniMed 780G | 45230020 |
PINs are provided for use by pharmacies and vendors submitting claims to PharmaCare.
PharmaCare maximum reimbursement is up to the manufacturer's suggested retail price. PharmaCare does not cover a dispensing fee for insulin pump supplies.
Claims for all items should be entered as “each” and reflect the number of pieces within the kit. For example, for infusion sets/kits:
Product name | PIN | Product description | ||
---|---|---|---|---|
Auto Control Medical (ACM) | ||||
ACM Cozmo® 3 mL IP cartridge | 47450001 | insulin cartridges for Cozmo® insulin pumps | ||
ACM Thinset 1.8 or 3 mL IP reservoir | 47450002 | insulin reservoirs for Paradigm® insulin pumps | ||
ACM Thinset 3 mL IP syringe reservoir | 47450003 | insulin reservoirs for MiniMed™ insulin pumps | ||
Animas Canada | ||||
Animas® 2 or 3 mL IP cartridge | 47450004 | insulin cartridges for Animas® OneTouch Ping, 2020, IR1200 and IR1000 insulin pumps | ||
Medtronic | ||||
Medtronic Paradigm® reservoir | 47450007 | insulin reservoirs for Paradigm® insulin pumps | ||
Tandem™ | ||||
Tandem™ t:slim cartridge | 47450008 | insulin cartridges for Tandem™ insulin pumps | ||
Ypsomed AG | ||||
YpsoPump reservoir 1.6 mL | 47450009 | glass cylinder insulin reservoirs for YpsoPump insulin pumps |
Product name | PIN | Product description | |
---|---|---|---|
Auto Control Medical (ACM) | |||
ACM Cleo® 90 infusion set | 46340001 | Cleo® 90 (6 mm and 9 mm) infusion sets (10 cannulas/10 tubing) | |
ACM Comfort® infusion set or combo or ShortCombo | 46340003 | Comfort® (17 mm) and Comfort® Short (13 mm) infusion sets (10 cannulas/10 tubing) | |
ACM Contact Detach™ infusion set | 46340004 | Contact Detach™ (6 mm and 8 mm) infusion sets (10 cannulas/10 tubing) | |
Animas Canada | |||
Animas® Comfort infusion set or combo | 46340007 | Comfort® (17 mm) and Comfort® Short (13 mm) infusion sets (10 cannulas/10 tubing) Comfort® Combo (17 mm) and Comfort® Short Combo (13 mm) infusion sets (10 cannulas/5 tubing) |
|
Animas® Inset® II or 30 infusion set | 46340009 | Inset® II (6 mm and 9 mm) and Inset 30 (13 mm) infusion sets | |
Disetronic Medical Systems Inc. (DMSI) | |||
DMSI Accu-chek® Rapid-D infusion set | 46340010 | Rapid-D (6 mm, 8 mm and 10 mm) infusion sets | |
DMSI Accu-chek® Tender 1 or 2 infusion set | 46340011 | Tender-1 (17 mm) and Tender-1 Mini (13 mm) infusion sets (10 cannulas/10 tubing) Tender-2 (17 mm) and Tender-2 Mini (13 mm) infusion sets (20 cannulas/10 tubing) |
|
DMSI Accu-chek® Ultraflex 1 or 2 infusion set | 46340012 | Ultraflex-1 (8 mm and 10 mm) infusion sets (10 cannulas/10 tubing) Ultraflex-2 (8 mm and 10 mm) infusion sets (20 cannulas/10 tubing) |
|
Insulet Canada Corporation | |||
OmniPod® Pod | 46340028 | disposable integrated insulin infusion inserter and reservoir | |
OmniPod® Dash | 46340038 | tubeless, wearable insulin pump that holds up to 200 units of insulin and delivers continuous insulin therapy | |
Medtronic | |||
Paradigm® Quick-set™ infusion set | 46340014 | for Paradigm® and 600 series pumps. Quick-Set™ (6 mm and 9 mm) infusion sets (10 cannulas, 10 tubing) | |
Paradigm® Silhouette™ infusion set | 46340015 | for Paradigm® and 600 series pumps. Silhouette™ (13mm and 17mm) infusion set (10 cannulas, 10 tubing) | |
Paradigm® Sure-T™ infusion set | 46340017 | Paradigm® Sure-T™ straight needle infusion sets (10 cannulas, 10 tubing) | |
Quick-set™ infusion set | 46340019 | Luer Lock connection for the MiniMed™ 508/400 series Quick-Set™ (6 mm and 9 mm) infusion sets (10 cannulas/10 tubing) | |
Silhouette™ infusion set | 46340020 | Luer Lock connection for the MiniMed™ 508/400 series Silhouette™ full set (23" and 43") infusion sets (10 cannulas/10 tubing) | |
Silhouette™ cannula only infusion set | 46340022 | for Paradigm® and 600 series pumps. Medtronic Paradigm® (13mm and 17mm) infusion sets, cannula only (10 cannulas with no tubing) | |
Mio™ infusion set | 46340023 | for Paradigm® and 600 series pumps. Medtronic Paradigm® mio™ (6mm and 9mm) infusion sets (10 cannulas/10 tubing) | |
MiniMed™ Mio™ 30 infusion set | 46340033 | for Paradigm® and 600 series pumps. Medtronic MiniMed™ Mio™ 30 infusion set (10 cannulas/10 tubing) | |
Tandem™ | |||
AutoSoft™ 30 infusion set | 46340030 | AutoSoft™ 30 infusion set | |
AutoSoft™ 90 infusion set | 46340029 | AutoSoft™ 90 infusion set | |
TruSteel™ infusion set | 46340031 | TruSteel™ infusion set | |
VariSoft™ infusion set | 46340032 | VariSoft™ infusion set | |
Ypsomed AG | |||
Orbit® 90 SC infusion set | 46340026 | Orbit® 90 Teflon (6 mm and 9 mm) infusion sets (10 cannulas/10 tubing) | |
Orbit® Micro SC infusion set | 46340027 | Orbit® Micro steel (5.5 mm and 8.5 mm) infusion sets (10 cannulas/10 tubing) | |
YpsoPump Orbit® soft infusion set | 46340034 | YpsoPump Orbit® soft (6 mm and 9 mm) infusion sets (10 cannulas/10 tubing) | |
YpsoPump Inset infusion set | 46340035 | YpsoPump Inset soft (6 mm and 9 mm) infusion sets (10 cannulas/10 tubing) | |
YpsoPump Orbit® micro infusion set | 46340036 | YpsoPump Orbit® micro steel (5.5 mm and 8.5 mm) infusion sets (10 cannulas/10 tubing) |
You can obtain your insulin pump from the approved manufacturer (Insulet Canada Corporation, Ypsomed AG or Medtronic of Canada Ltd.), and your supplies through the manufacturer or any B.C. pharmacy.
Claims must be submitted electronically via PharmaNet. Paper or manual claims are not accepted.
Product | PIN |
---|---|
Needles/syringes—insulin use only | 999725 |
On March 20, 2020, MAiD prescriptions will no longer require Special Authority approval under Plan P (Palliative Care Drug Plan). Coverage will be provided automatically under the Assurance Plan (Plan Z).
For Plan Z coverage, all MAiD prescriptions need to be claimed through PharmaNet using the MAiD-specific Product Identification Numbers (PINs). Drug Identification Numbers (DINs) may no longer be used.
Each PIN identifies a drug, strength/concentration, and form. It will not identify a specific brand. Any brand of a drug can be dispensed under the PIN and will be paid up to the maximum price that is allowable for that PIN.
If you are unable to acquire a product that meets the specifications of the drug identified in the tables below, or if the price of the product you have exceeds the allowable maximum price, please contact the PharmaNet HelpDesk for assistance.
If a patient is ineligible for MAiD due to a lack of MSP coverage, or because they recently moved to B.C. from another part of Canada, please call HIBC.
As of March 20, 2020, please use the PINs below when entering all MAiD prescriptions.
Press CTRL+F to search for keywords in the tables below.
Product | PIN |
---|---|
lidocaine 1% injection | 88000004 |
lidocaine 2% injection | 88000005 |
bupivicaine 5 mg/mL injection | 88000006 |
midazolam 1 mg/mL injection | 88000007 |
midazolam 5 mg/mL injection | 88000008 |
phenobarbital sodium 120 mg/mL injection | 88000009 |
propofol 10 mg/mL injection | 88000010 |
rocuronium bromide 10 mg/mL injection | 88000011 |
sodium chloride 0.9% injection | 88000012 |
Product | PIN |
---|---|
haloperidol 5 mg/mL injection | 88000013 |
lorazepam 0.5 mg SL tablet | 88000014 |
metoclopramide 10 mg tablet | 88000015 |
ondansetron 8 mg tablet | 88000016 |
phenobarbital + chloral hydrate + morphine sulphate oral suspension | 88000002 |
secobarbital compound suspension | 88000003 |
Product | PIN |
---|---|
primary and secondary IV regimen | 88000000 |
primary oral drug regimen and secondary IV regimen | 88000001 |
Condition | PIN description (PA: pharmacist assessment) (HCP: health care provider) |
PIN1 |
---|---|---|
Acne, mild | PA acne-RX | 98890001 |
PA acne-RX other HCP | 98890002 | |
PA acne-no RX | 98890003 | |
PA acne-no RX other HCP | 98890004 | |
Allergic rhinitis | PA allergy-RX | 98890005 |
PA allergy-RX other HCP | 98890006 | |
PA allergy-no RX | 98890007 | |
PA allergy-no RX other HCP | 98890008 | |
Conjunctivitis
|
PA pink eye-RX | 98890009 |
PA pink eye-RX other HCP | 98890010 | |
PA pink eye-no RX | 98890011 | |
PA pink eye-no RX other HCP | 98890012 | |
Contraception | PA contraception-RX | 98890013 |
PA contraception-RX other HCP | 98890014 | |
PA contraception-no RX | 98890015 | |
PA contraception-no RX other HCP | 98890016 | |
Dermatitis
|
PA dermatitis-RX | 98890017 |
PA dermatitis-RX other HCP | 98890018 | |
PA dermatitis-no RX | 98890019 | |
PA dermatitis-no RX other HCP | 98890020 | |
Dysmenorrhea | PA menstrual pain-RX | 98890021 |
PA menstrual pain-RX other HCP | 98890022 | |
PA menstrual pain-no RX | 98890023 | |
PA menstrual pain-no RX other HCP | 98890024 | |
Fungal infections
|
PA fungal infx-RX | 98890029 |
PA fungal infx-RX other HCP | 98890030 | |
PA fungal infx-no RX | 98890031 | |
PA fungal infx-no RX other HCP | 98890032 | |
GERD/dyspepsia | PA GERD/dyspepsia-RX | 98890033 |
PA GERD/dyspepsia-RX other HCP | 98890034 | |
PA GERD/dyspepsia-no RX | 98890035 | |
PA GERD/dyspepsia-no RX other HCP | 98890036 | |
Headache | PA headache-RX | 98890037 |
PA headache-RX other HCP | 98890038 | |
PA headache-no RX | 98890039 | |
PA headache-no RX other HCP | 98890040 | |
Hemorrhoids | PA hemorrhoid-RX | 98890041 |
PA hemorrhoid-RX other HCP | 98890042 | |
PA hemorrhoid-no RX | 98890043 | |
PA hemorrhoid-no RX other HCP | 98890044 | |
Herpes labialis (cold sores) | PA cold sore-RX | 98890045 |
PA cold sore-RX other HCP | 98890046 | |
PA cold sore-no RX | 98890047 | |
PA cold sore-no RX other HCP | 98890048 | |
Impetigo | PA impetigo-RX | 98890049 |
PA impetigo-RX other HCP | 98890050 | |
PA impetigo-no RX | 98890051 | |
PA impetigo-no RX other HCP | 98890052 | |
Oral ulcers (canker sores, aphthous ulcers) | PA canker sore-RX | 98890053 |
PA canker sore-RX other HCP | 98890054 | |
PA canker sore-no RX | 98890055 | |
PA canker sore-no RX other HCP | 98890056 | |
Oropharyngeal candidiasis (oral thrush) | PA oral thrush-RX | 98890057 |
PA oral thrush-RX other HCP | 98890058 | |
PA oral thrush-no RX | 98890059 | |
PA oral thrush-no RX other HCP | 98890060 | |
Musculoskeletal sprains and strains | PA MSK pain-RX | 98890061 |
PA MSK pain-RX other HCP | 98890062 | |
PA MSK pain-no RX | 98890063 | |
PA MSK pain-no RX other HCP | 98890064 | |
Shingles (herpes zoster) | PA shingles-RX | 98890065 |
PA shingles-RX other HCP | 98890066 | |
PA shingles-no RX | 98890067 | |
PA shingles-no RX other HCP | 98890068 | |
Nicotine dependence | PA nicotine-RX | 98890069 |
PA nicotine-RX other HCP | 98890070 | |
PA nicotine-no RX | 98890071 | |
PA nicotine-no RX other HCP | 98890072 | |
Threadworms or pinworms | PA pinworm-RX | 98890073 |
PA pinworm-RX other HCP | 98890074 | |
PA pinworm-no RX | 98890075 | |
PA pinworm-no RX other HCP | 98890076 | |
Urinary tract infection (uncomplicated) | PA UTI-RX | 98890077 |
PA UTI-RX other HCP | 98890078 | |
PA UTI-no RX | 98890079 | |
PA UTI-no RX other HCP | 98890080 | |
Urticaria, including insect bites | PA hives/bites-RX | 98890081 |
PA hives/bites-RX other HCP | 98890082 | |
PA hives/bites-no RX | 98890083 | |
PA hives/bites-no RX other HCP | 98890084 | |
Vaginal candidiasis (yeast infection) | PA yeast infx-RX | 98890085 |
PA yeast infx-RX other HCP | 98890086 | |
PA yeast infx-no RX | 98890087 | |
PA yeast infx-no RX other HCP | 98890088 |
1 Refer to the submitting claims section
PharmaCare will not pay for MACS provided to ineligible patients or for virtual services. When providing services that are not eligible for the MACS fee, please use the appropriate non-benefit PIN from the table below.
PIN Description | PIN |
---|---|
Non-benefit minor ailment | 98890089 |
Virtual non-benefit minor ailment | 98890090 |
Product | PIN |
---|---|
allergy serums Use only when dispensing formulations compounded by a registered lab for a specific patient. When dispensing a commercially available allergy serum, use the product-specific DIN |
999652 |
heparin I.V. flush syringe | 66128148 |
herbal medications (non-benefit) | 66123922 |
non-drug medical supply (non-benefit) | 66123227 |
nutritional supplement (non-benefit) | 66123264 |
These tables provide product identification numbers (PINs) and drug identification numbers (DINs) for PharmaCare claims for opioid agonist treatment (OAT).
PINs are for OAT claims only. If a prescription is for pain, enter the transaction in PharmaNet with the corresponding DIN. Do not use OAT PINs for pain indications.
As of June 6, 2023, regular benefit OAT is covered under plans B, C, G and Z. Non-benefit OAT is covered under Plan B, C, G, W and Z.
PharmaCare pays an interaction fee to pharmacies that are a) enrolled in the OAT provider sub-class; and b) dispensing methadone with direct interaction. The only eligible claims are for witnessed ingestion of methadone.
Exceptional Plan Z coverage of OAT is available to people living in B.C. who are not yet fully enrolled in MSP. See Exceptional Plan Z coverage for OAT on the Plan Z web page.
After June 6, 2023, patients should receive 100% coverage for non-benefit OAT if they have active exceptional SA in place. Pharmacists should be aware that patients with exceptional SA for non-benefit OAT (i.e., Methadose® sugar-free/dye-free, compounded methadone, Suboxone® 12 mg and 16 mg SL tabs, Suboxone® film) may experience a change from 100% coverage to partial or no coverage at the pharmacy, despite having an active SA approval. This could happen, for instance, following an income review or January 1 deductible update for patients covered by Fair PharmaCare. This is due to the technicalities of entering SAs to cover non-benefit OAT under Plan Z.
Pharmacists and prescribers should call the HIBC Help Desk if they believe that someone with an SA for non-benefit OAT is not receiving the appropriate coverage. Help Desk staff will determine whether the SA is active and, if so, will contact the SA team to determine coverage issues and re-instatement. If the SA has indeed expired, the prescriber will need to submit a new SA request.
For information on the methadone maintenance payment program, visit Methadone Maintenance Payment Program — Section 8.8, PharmaCare Policy Manual.
Methadose™ 10 mg/mL (cherry) DIN 2394596 | PIN for OAT | Plan coverage |
---|---|---|
Methadose 10 mg/mL (cherry) - direct interaction | 66999997 | Plans B, C, G, and Z |
Methadose 10 mg/mL (cherry) - no direct interaction | 66999998 | |
Methadose 10 mg/mL (cherry) - direct interaction with delivery | 66999999 | |
Methadose 10 mg/mL (cherry) - no direct interaction with delivery | 67000000 |
Metadol-D™ 10 mg/mL (unflavoured) DIN 2244290 | PIN for OAT | Plan coverage |
---|---|---|
Metadol-D 10 mg/mL (unflavoured) - direct interaction | 67000005 | Plans B, C, G, and Z |
Metadol-D 10 mg/mL (unflavoured) - no direct interaction | 67000006 | |
Metadol-D 10 mg/mL (unflavoured) - direct interaction with delivery | 67000007 | |
Metadol-D 10 mg/mL (unflavoured) - no direct interaction with delivery | 67000008 |
Buprenorphine/naloxone, Sublocade® and Kadian® | DIN/PIN for OAT | Plan coverage | Claim submission requirements |
---|---|---|---|
buprenorphine/naloxone SL - 2 mg/0.5 mg generics | ACT 02453908 | Plans B, C, G, and Z No interaction fee paid for witnessed ingestion. |
|
PMS 02424851 | |||
buprenorphine/naloxone SL - 8 mg/2 mg generics | ACT 02453916 | ||
PMS 02424878 | |||
Kadian slow-release oral morphine 10 mg capsule | 22123349 (PIN) | Plans B, C, G, and Z No interaction fee paid for witnessed ingestion. |
|
Kadian slow-release oral morphine 20 mg capsule | 22123346 (PIN) | ||
Kadian slow-release oral morphine 50 mg capsule | 22123347 (PIN) | ||
Kadian slow-release oral morphine 100 mg capsule | 22123348 (PIN) | ||
Sublocade 100 mg/0.5 SOLER SYR | 02483084 | Plans B, C, G, and Z. Eligible for drug administration fee. |
|
Sublocade 300 mg/1.5 SOLER SYR | 02483092 |
Methadose™ 10 mg/mL (unflavoured, sugar-free) DIN 2394618 | PIN for OAT | Plan coverage |
---|---|---|
Methadose 10 mg/mL (sugar-free) - direct interaction | 67000001 | Non-benefit. Exceptional Special Authority coverage required under Plan B, C, G, W and Z. |
Methadose 10 mg/mL (sugar-free) - no direct interaction | 67000002 | |
Methadose 10 mg/mL (sugar-free) - direct interaction with delivery | 67000003 | |
Methadose 10 mg/mL (sugar-free) - no direct interaction with delivery | 67000004 |
Compounded methadone 10 mg/mL | PIN for OAT | Plan coverage |
---|---|---|
Compounded methadone 10 mg/mL - direct interaction | 67000013 |
Last-resort, exceptional coverage available with Special Authority. |
Compounded methadone 10 mg/mL - direct interaction with delivery | 67000014 | |
Compounded methadone 10 mg/mL - no direct interaction | 67000016 | |
Compounded methadone 10 mg/mL - no direct interaction with delivery | 67000015 |
Suboxone® | DIN/PIN for OAT | Plan coverage | Claim submission requirements |
---|---|---|---|
Partial benefit | |||
Suboxone buprenorphine/naloxone - 2 mg/0.5 mg SL | 02295695 | Partial benefit under Plan B, C, G and Z. No interaction fee paid for witnessed ingestion. |
|
Suboxone buprenorphine/naloxone - 8 mg/2 mg SL | 02295709 | ||
Non-benefit | |||
Suboxone buprenorphine/naloxone - 12 mg/3 mg SL | 02468085 | Exceptional Special Authority coverage required under plans Plan B, C, G, W and Z. No interaction fee paid for witnessed ingestion. |
|
Suboxone buprenorphine/naloxone - 16 mg/4 mg SL | 02468093 |
Situation | PIN |
---|---|
Clinic (ward) stock dose | 66128342 |
missed dose | 66128343 |
dose increased at clinic visit | 66128344 |
dose decreased at clinic visit | 66128345 |
buprenorphine/naloxone induction doses | 66128346 |
For a list Plan W OTC DINS, visit First Nations Health Benefits (Plan W): Over-the-counter drugs.
Press CTRL+F to search for keywords in the tables below.
Product | PIN |
---|---|
Alcohol wipes/pads | 11120001 |
Needle/syringe for non-diabetic use | 11200016 |
Adhesive wipes | 11200021 |
Product | PIN |
---|---|
Blood ketone strips | 11120002 |
Urine ketone strips | 11120003 |
Lancets for diabetic use | 11120004 |
Product | PIN |
---|---|
Spacer device AeroChamber® type | 11200005 |
Spacer device AeroChamber® type/mask | 11200006 |
Spacer device AeroChamber® child | 11200007 |
Spacer device compact space type | 11200008 |
Spacer device compact space type/mask | 11200009 |
Spacer device E-Z spacer type | 11200010 |
Spacer device E-Z spacer type/mask | 11200011 |
Spacer device OptiChamber type | 11200012 |
Spacer device OptiChamber type/mask | 11200013 |
Spacer device RespiChamber™ type | 11200014 |
Spacer device exceptional | 11200015 |
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