Information for prescribers
Pharmacists in B.C. can now prescribe for 21 ailments and contraception. Read more at Minor Ailments and Contraception Service (MACS).
Many contraceptives are now free for B.C. residents. For more information see: Contraceptives – Information for health professionals.
Last updated: October 3, 2023
This page links to the information prescribers need most as PharmaCare providers.
Key resources
Essential reading
Are you a registered nurse (RN) or registered psychiatric nurse (RPN) prescribing OAT? Help your patients by sending Nurse prescriptions for OAT – A note to B.C. pharmacists along with the prescription.
PharmaCare drug list (formulary)
You can use the online PharmCare formulary search tool to find out:
- Which drugs PharmCare covers, under which plans
- The maximum PharmaCare covers
- Special Authority requirements, and more
The search tool lists all the drugs that PharmaCare covers (benefits) or has reviewed and decided not to cover (non-benefits).
Be sure to click on the drug's DIN in the left column of the results table to find out which plans a drug is covered under. Watch the video below for a quick introduction to using the search tool.
First Nations Health Benefits (Plan W) over-the-counter drug lists:
Easy-reference drug lists (for complete list, use the formulary search):
- Cystic Fibrosis (Plan D)
- Psychiatric Medications (Plan G)
- Palliative Care Drug Plan (Plan P)
- Smoking Cessation Program (Plan S)
SA approval may be granted for full coverage of a medical supply, device or drug that is otherwise partially covered or not covered.
or the public:
Patients can track SA requests online in Health Gateway.
Pharmacist-initiated SA requests
SA requests are nearly always submitted by prescribers, but under some circumstances pharmacists may request SA.
- The pharmacist is acting as a prescriber (for instance, for OTC medications like acetaminophen)
- The pharmacist has adapted the prescription
- To dispense vancomycin following a hospital stay
- When working in a clinical setting in collaboration with a prescriber, with full access to a patient's clinical record
- To apply for exceptional Plan Z coverage
All policies
- PharmaCare Policy Manual
- Prosthetic and Orthotic (P&O) Policy Manual
- PharmaCare Newsletter—subscribe for the latest policy and procedure updates.
Clinical services fees
Dispensing fees
Frequency of dispensing - fee limits
- Section 8.3–Pharmacare Policy Manual
- Frequent Dispensing Authorization form (PDF, 543KB)
- Product exemptions (PDF, 286KB)
High-cost drugs
- Section 5.8–PharmaCare Policy Manual
- List of Designated High-Cost Drugs
- Reimbursement for Non-returnable High-cost Injectable Drugs: Eligible Products (PDF, 149KB)
Inducements
- Policy statement (PharmaCare Newsletter 10-014) (PDF, 1.94MB)
- Pharmacy Rewards Program patient information sheet (PDF, 131KB)
Low Cost Alternative (LCA) program
Medical assistance in dying (MAiD)
PharmaCare pays a clinical services fee to pharmacists for dispensing MAiD prescriptions.
- PharmaCare Newsletter 16-005 (PDF, 412KB)
- PharmaCare-covered fees and products (with PINs and DINs)
- Medical Assistance in Dying—Information for Health Care Providers
Medication review services
Reference Drug Program (RDP)
Rural Incentive Program
- Section 8.11–PharmaCare Policy Manual
- Application for PharmaCare Rural Incentive Program (PDF, 514KB)
Smoking cessation program
Vaccines
Pharmacists authorized by the College of Pharmacists of BC to administer injections receive payment for each publicly funded vaccination they administer to an eligible B.C. resident. The vaccine cost is covered by the Province of B.C. through Immunize BC.
PharmaNet is a secure network linking community pharmacies and other authorized clinical users in British Columbia. It records all medication dispensed in community pharmacies and gives health care providers controlled access to their clients' dispensing history. It protects against dangerous medication interactions, prescription fraud and drug abuse.
Connection is provided by software vendors. Their software, installed at a single community medical practice is called a site. Practices using more than one vendor for PharmaNet access have more than one site.
As of December 1, 2020, all new PharmaNet users enrol in PRIME to request Ministry of Health approval to access PharmaNet.
PharmaNet patient profile corrections
The Ministry of Health is responsible for all PharmaNet patient profile corrections. When reporting an error or correction to a PharmaNet patient profile, contact either the HIBC Helpdesk or the PharmaNet Data Quality Services Team.
Learn how drugs coverage decisions are made at Drug review.
Learn how patients, caregivers and advocacy groups can provide input for drug reviews at Your Voice.
For the results of PharmaCare drug coverage decisions, use the Drug Review Results search. Read more about Drug review decisions.
Fair PharmaCare (Plan I)
Fair PharmaCare is an income-based coverage plan available to all residents of B.C. if they
- Have Medical Services Plan (MSP) coverage, and
- Give PharmaCare permission to check their income with the Canada Revenue Agency. (Income is from two years prior)
Residents must register for the plan. Please encourage your patients to register. Fair PharmaCare information sheets are available in many languages.
Psychiatric Medications Plan (Plan G)
To secure coverage under the Psychiatric Medications Plan (Plan G) or the BC Palliative Care Benefits Program, a physician must submit an application on the individual's behalf.
- Read up at Psychiatric Medications Plan (Plan G)
- Application for PharmaCare Plan G (HLTH 3497) (PDF, 892KB)
- Full list of medications covered under Plan G.
BC Palliative Care benefits web page for prescribers.
First Nations Health Benefits (Plan W)
First Nations Health Authority (FNHA) clients are eligible for PharmaCare Plan W, which offers 100% coverage of eligible benefits.
- Read about Plan W
Medical assistance in dying (MAiD)
Since March 20, 2020, PharmaCare coverage for MAiD prescriptions is provided automatically under Assurance (Plan Z). Prescribers can simply send their prescription to the pharmacy. Pharmacists enter the prescription in PharmaNet.
- Medical Assistance in Dying—Information for Health Care Providers
- PharmaCare Newsletter 16-005 (PDF, 412KB)
- PharmaCare-covered fees and products (with PINs and DINs)
Prosthetic/orthotic coverage
Do you have a patient who needs a prosthetic or orthotic device?
BC Smoking Cessation Program
Is your patient ready to stop smoking or using other tobacco products? The BC Smoking Cessation Program
- Covers 100% of the cost of certain nicotine replacement products
- Contributes to the eligible cost of prescription smoking cessation drugs
For smoking cessation drugs, the patient requires a physician’s prescription.
Drug coverage for opioid use disorder
PharmaCare covers the following drugs as treatment for opioid use disorder:
- Several formulations of methadone for maintenance
- Buprenorphine/naloxone (Suboxone® and generics)
- Kadian® 24-hour slow release oral morphine (under certain conditions)
PharmaCare covers these medications under the income-based Fair PharmaCare plan. It also provides 100% coverage under PharmaCare Plan C (Income Assistance), Plan G (Psychiatric Medications), and Plan W (First Nations Health Benefits).
Support:
Hand-outs for patients about the Fair PharmaCare plan, the Prosthetics and Orthotics Program, the BC Palliative Care Benefits Program, specific drugs and other topics.