Special Authority (SA) confirmation codes are transmitted in real time as part of the usual online claim to a private insurer. They are also printed on a patient’s prescription receipt.
| BCSA Code |
Code Interpretation |
SA |
RDP |
LCA |
Benefit |
| BCSA0000 |
- Item is not a PharmaCare benefit under patient’s plan(s)
- Patient does not have SA approval for coverage
|
N |
N |
N |
N |
| BCSA0002 |
- Patient is not eligible for coverage (not a B.C. resident)
|
N |
N |
N |
Not present |
| BCSA0001 |
- Item is a benefit for this patient; it does not require SA approval for full coverage
|
N |
N |
N |
Y |
| BCSA0011 |
- Item is a benefit for this patient but is only partially covered under the LCA Program
- Patient does not have SA approval for full coverage under the LCA Program
|
N |
N |
Y |
Y |
| BCSA0101 |
- Item is a benefit for this patient but is only partially covered under the RDP
- Patient does not have SA approval for full coverage under the RDP
|
N |
Y |
N |
Y |
| BCSA1100 |
- Patient has SA approval (item would not be a benefit under patient’s PharmaCare plan(s) without SA approval)
- Coverage has been reduced to RDP pricing
- Patient does not have SA approval for full coverage under the RDP
|
Y |
Y |
N |
N |
| BCSA1010 |
- Patient has SA approval (item would not be a benefit under patient’s PharmaCare plan(s) without SA approval)
- Coverage has been reduced to LCA pricing
- Patient does not have SA approval for full coverage under the LCA Program
|
Y |
N |
Y |
N |
| BCSA1011 |
- Patient has SA approval. (This code is used only in circumstances when some coverage would have been available to the patient without SA approval)
- Coverage has been reduced to LCA pricing
- Patient does not have SA approval for full coverage under the LCA Program
|
Y |
N |
Y |
Y |
| BCSA1000 |
- Patient has SA approval (item would not be a benefit under patient’s PharmaCare plan(s) without SA approval)
|
Y |
N |
N |
N |
| BCSA1001 |
- Patient has SA approval. (This code is used only in circumstances when some coverage would have been available to the patient without SA approval)
|
Y |
N |
N |
Y |
¹ SA: Y = SA is approved; N = SA is not approved
² RDP: Y = coverage has been reduced to RDP pricing; N = coverage has not been reduced to RDP pricing
³ LCA: Y = coverage has been reduced to LCA pricing; N = coverage has not been reduced to LCA pricing
⁴ Benefit: Y = item is a benefit under patient’s PharmaCare plan; N = item is not a benefit under patient’s PharmaCare plan
Table last updated: April 2018
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Publication date: May 16, 2022