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BC PharmaCare for health professionals
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PharmaCare Policy Manual
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5. Pricing Policies and Product Reimbursement
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PharmaCare Policy Manual
1. Introduction to the BC PharmaCare Program
2. Provider Enrolment in PharmaCare
3. Claims Submission
4. Offline (Manual) Claims
5. Pricing Policies and Product Reimbursement
5.1 Maximum Days Supply Policy
5.2 Refilling Prescriptions Too Soon Policy
5.3 Refilling Prescriptions on the Same Day Policy
5.4 Travel Supply Policy
5.5 Correct Quantities Policy
5.6 Maximum Pricing Policy
5.7 Actual Acquisition Cost Policy
5.8 High-Cost Drugs Policy
5.9 Retail Pricing Policy
5.10 Full Payment Policy
5.11 Low Cost Alternative Program
5.12 Reference Drug Program
5.13 Compounded Prescriptions
5.14 Insulin
5.15 Needles and Syringes
5.16 Blood Glucose Testing
5.17 Insulin Pumps
5.18 Insulin Pump Supplies
5.19 Reimbursement for Non-Returnable High-Cost Injectable Drugs
5.20 Smoking Cessation Program Policy
5.21 Ostomy Supplies
5.22 Prosthetics and Orthotics
5.23 Pricing Exceptions where Multiple Dosage Forms or Strengths are Available
5.24 Drug Shortages
6. Understanding PharmaCare Benefit Status
7. Coverage Plans
8. Pharmacy Fees, Subsidies, Provider Payment
9. Privacy
10. Audit
11. Contacts for Practitioners and Providers
5. Pricing Policies and Product Reimbursement
Last updated on July 13, 2021
5.1 Maximum Days Supply Policy
5.2 Refilling Prescriptions Too Soon Policy
5.3 Refilling Prescriptions on the Same Day Policy
5.4 Travel Supply Policy
5.5 Correct Quantities Policy
5.6 Maximum Pricing Policy
5.7 Actual Acquisition Cost Policy
5.8 High-Cost Drugs Policy
5.9 Retail Pricing Policy
5.10 Full Payment Policy
5.11 Low Cost Alternative Program
5.12 Reference Drug Program
5.13 Compounded Prescriptions
5.14 Insulin
5.15 Needles and Syringes
5.16 Blood Glucose Testing
5.17 Insulin Pumps
5.18 Insulin Pump Supplies
5.19 Reimbursement for Non-Returnable High-Cost Injectable Drugs
5.20 Smoking Cessation Program Policy
5.21 Ostomy Supplies
5.22 Prosthetics and Orthotics
5.23 Pricing Exceptions where Multiple Dosage Forms or Strengths are Available
More topics