Special Authority confirmation codes

Publication date: May 16, 2022

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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