Product identification numbers (PINs)

Clinical and patient support fees and PINs

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.

Compounding fee schedule

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. 

Compounding fee schedule

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

Eligible PINs

All eligible compound PINs have criteria. Additionally, compounds containing active ingredients that are subject to Special Authority will require Special Authority approval.

Oral suspensions

The maximum compounding fee for oral suspensions is $20 per compound. For the list of eligible bases, see below this table.

Oral suspensions

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

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 PharmaCare 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.

Dermatologicals

Dermatological compounds may be processed under a PIN from the table below only if

• It does not duplicate a commercial product
• The eligible active ingredient(s) are compounded into an eligible medicated or non-medicated base. Compounds in transdermal bases are not an eligible PharmaCare benefit. For eligible bases, see list below this table
• The compound criteria have been met
• If any active ingredient requires Special Authority and an approval has been granted  

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

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 bases for compounded dermatologicals

 Eligible non-medicated bases include—but are not limited to—the following:

​ For more information about eligible bases, please contact the PharmaCare Help Desk. 

Mouth rinses

Mouth rinses

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

Intrathecal analgesics—palliative

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

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

CADD injections—palliative

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

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)

Medical Assistance in Dying (MAiD)

Medical Assistance in Dying (MAiD)	Special Authority required	PIN
phenobarbital/chloral hydrate/morphine sulphate suspension	No	88000002
secobarbital suspension	No	88000003

Preservative-free eyedrops

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

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

Other compounds

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

Non-benefit compounds PINs

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 PharmaCare HelpDesk before submitting the claim on PharmaNet.

Non-benefit compounds

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

Discontinued compound PINs

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 PharmaCare Help Desk.

Discontinued compounds

Discontinued compounds	PIN
narcotic compound (non-benefit)	999776
compounded lotion	842443
compounded ointment/cream	842435
compounded mixture	921297

Copper intrauterine devices (IUDs)

Copper intrauterine devices (IUDs)

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:

• Digestive enzymes—fully covered under Plan D
• Nutritional supplements and vitamins—covered under the rules of a patient’s primary PharmaCare plan (i.e., Plan C, Fair PharmaCare, Plan F or Plan W).
• Hypertonic saline solutions, normal saline solutions and sterile water—covered under the rules of a patient’s primary PharmaCare plan (i.e., Plan C, Fair PharmaCare, Plan F or Plan W).

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.

Digestive enzymes

Digestive enzymes

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

Nutritional supplements and vitamins

Nutritional supplements and vitamins

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

Hypertonic saline 7%, normal saline and sterile water

Hypertonic saline 7%, normal saline and sterile water

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

Blood glucose test strips (BGTS)

Providers—when submitting a claim, use either

• BGTS PINs—regular (immediately below), or
• BGTS PINs—Special Authority (next table)

Press CTRL+F to search for keywords in the tables below.

BGTS PINs—regular (within annual limit/private pay)

Use these PINs when a patient has not exceeded their annual limit.

BGTS regular PINs

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

BGTS PINs—Special Authority

Use these PINs when a patient has Special Authority coverage for additional blood glucose test strips for the current calendar year:

BGTS Special Authority PINs

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

Continuous glucose monitor (CGM)

Use these PINs for the continuous glucose monitor sensor and transmitter.

Note: Special Authority is needed for PharmaCare to cover a CGM.

Continuous glucose monitors (CGMs)

Product	PIN
Dexcom G6® Sensor	43120002
Dexcom G6® Transmitter	43120003
Dexcom G7® Receiver	43120006
Dexcom G7® Sensor	43120007

Flash glucose monitor (FGM)

Use these PINs for the flash glucose monitor sensor and reader.

Note: Special Authority is needed for PharmaCare to cover a FGM.

Flash glucose monitor (FGM)

Product	PIN
FreeStyle Libre 2® Sensor	43120004
FreeStyle Libre 2® Reader	43120005

Insulin pumps

These insulin pump PINs are provided for use by approved vendors submitting claims to PharmaCare.

Insulin pumps

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

Insulin pump supplies

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.

Correct quantities

Claims for all items should be entered as “each” and reflect the number of pieces within the kit. For example, for infusion sets/kits:

• If you dispense 1 kit that contains 1 cannula and 1 tubing, total quantity = 2
• If you dispense 1 kit that contains 10 cannula and 10 tubing, total quantity = 20 (10 + 10)
• If you dispense 2 kits and each kit contains 10 cannula and 10 tubing, total quantity = 40 ((10 + 10) x 2)
• If you dispense 1 box of pods that contains 10 pods, total quantity = 10

Reservoirs/cartridges PINs

Reservoirs/cartridges PINs

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

Infusion sets/kits PINs

Infusion sets/kits PINs

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)

Insulin pump and insulin pump supplies – approved vendors

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.

Needles and syringes

Needles and syringes

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 PharmaCare Help Desk 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.

Intravenous (IV) kit PINs

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

Oral kit PINs

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

Clinical Service Fee PINs

Product	PIN
primary and secondary IV regimen	88000000
primary oral drug regimen and secondary IV regimen	88000001

Minor ailments and contraception PINs

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 allergic bacterial viral	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 allergic atopic contact diaper seborrheic	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 onychomycosis (nail) tinea corporis (ringworm) tinea cruris (jock itch) tinea pedis (athlete’s foot)	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

Minor ailment services not eligible for the MACS fee

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. 

Minor ailments and contraception – non-benefit PINs

PIN Description	PIN
Non-benefit minor ailment	98890089
Virtual non-benefit minor ailment	98890090

Miscellaneous product PINs

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.

Interaction fees

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

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.

Potential coverage issues for non-benefit OAT Special Authority

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.

Regular benefit OAT

Methadone

Methadone claim submission requirements

• Claim quantity must be submitted as total mL
• SIG must include dose in mg and mL, e.g., "Take 5 mL (50 mg) once daily"
• SIG must include the start and end dates of the prescription
• Carries must be claimed as single multiple-day supply for drug cost, plus a single dispensing fee
• Split doses must be claimed as a single multiple-dose claim for drug cost, plus a single dispensing fee
• Maximum one dispensing fee and one interaction fee per patient per day

For information on the methadone maintenance payment program, visit Methadone Maintenance Payment Program — Section 8.8, PharmaCare Policy Manual.

 Regular benefit – methadone (cherry)

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

Regular benefit – methadone (unflavoured)

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^® 

Regular benefit – Buprenorphine/naloxone, Sublocade^® and Kadian^®

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.	Claim quantity is number of tablets SIG should include start and end dates as best practice (not mandatory)
	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.	Use PINs if for OAT Claim quantity is number of capsules SIG should include start and end dates as best practice (not mandatory).
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.	Claim quantity is number of syringes SIG should include start and end dates as best practice (not mandatory)
Sublocade 300 mg/1.5 SOLER SYR	02483092

Non-benefit OAT

Methadone

Non-benefit – methadone (unflavoured, sugar-free)

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

Non-benefit – compounded methadone

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. Dispensing pharmacies must order compounded methadone from the central compounding pharmacy. For more information please visit the BCCSU compounded methadone bulletin.
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^®

Partial benefit / Non-benefit – Suboxone^®

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.	Claim quantity is number of tablets SIG should include start and end dates as best practice (not mandatory)
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

TMU PINs – transaction medication updates

Not for pharmacy entry. For pharmacist information only. These PINS are for clinicians at outpatient health facilities to input. See IIMOAT records in PharmaNet for more details. 

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.

General supplies

General supplies

Product	PIN
Alcohol wipes/pads	11120001
Needle/syringe for non-diabetic use	11200016
Adhesive wipes	11200021

Diabetic supplies 

Diabetic supplies

Product	PIN
Blood ketone strips	11120002
Urine ketone strips	11120003
Lancets for diabetic use	11120004

Inhaler spacers

Inhaler spacers

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