Benefit Groups
Eligibility Process
The benefit eligibility process uses a relationship, established by PharmaCare, between a product, its associated benefit group and the plan rules.
Benefit Group | Description |
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AM | Seniors over 65 Methadone Maintenance - Eligible under Plan AM |
B | Long Term Care Clients - Eligible under Plan B |
C | Human Resources Clients - Eligible under Plan C |
CH | Human Resources Clients Under 19 - Eligible under Plans CN, F, K0-K9, KA-KZ, 1K-4K, QN & UK |
CF | Registered Cystic Fibrosis Clients - Eligible under Plan D
Supplements & Enzymes Identification Numbers |
DS | Syringes and Infusion Sets for Patients with Diabetes - Eligible under Plans B, C, F, I0-9, IA-IZ, 1I-4I, J0-J9, JA-JZ, 1J-2J, Q, & UI
Diabetic Supplies Identification Numbers |
F | At Home Clients - Eligible under Plan F |
I2 | Insulin (No Fee Allowed) - Eligible under Plans B, C, F, I0-9, IA-IZ, 1I-4I, J0-J9, JA-JZ, 1J-2J, Q, & UI |
LC | Limited Coverage Items - Special Authority Required
Special Authority Categories |
MH | No-Charge Psychiatric Medications - Eligible under Plan G
No-Charge Psychiatric Medications Formulary
A limited number of medications in the formulary are available under the Trial Prescription Program. |
N | Nebulizers for Children Under 19 - Eligible under Plans CN, F, K0-K9, KA-KZ, 1K-4K, QN & UK |
NS | Non Steroidal Anti Inflammatory - Eligible under Plan B |
OS | Prosthetic / Mastectomy / Ostomy Supplies - Eligible under Plans B, C, F, I0-9, IA-IZ, 1I-4I, J0-J9, JA-JZ, 1J-2J, Q, & UI
Prosthetic & Mastectomy Product Identification Numbers
Ostomy Product Identification Numbers |
PC | Clients Registered for BC Palliative Care Benefits Program |
TA | Trial Prescriptions - Eligible for Plans C, F, I0-9, IA-IZ, 1I-4I, J0-J9, JA-JZ, 1J-2J, Q, & UI
Trial Product Identification Numbers |
U | Income Based Drugs - Eligible under Plans I0-9, IA-IZ, 1I-4I, J0-J9, JA-JZ, 1J-2J, Q, & UI |
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