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Pharmacy

The FNHA Health Benefits program provides eligible clients:

• Specified drugs, including certain prescription drugs

• Over-the-counter (OTC) drugs

• Proprietary medicines

• ​Compounds - such as eye drops and skin creams; these mixtures prepared by the pharmacist

What is covered?

The majority of FNHA pharmacy benefits are administered through the BC PharmaCare program. Eligible FNHA clients will receive coverage for their prescription medications through PharmaCare Plan W. All drugs approved for coverage by PharmaCare Plan W are available on their formulary search, which can be found here.

Drugs that are not on the PharmaCare Plan W formulary may be approved for coverage as a Special Authority, when exceptional need is demonstrated. Special Authority requests must be initiated by a doctor or nurse practitioner. The following drug products are exclusions under the program:

• Household products (e.g. soap and shampoos)
• Anti-obesity drugs
• Cosmetics
• Alternative therapies (e.g. glucosamine and evening primrose oil)
• Megavitamins
• Drugs with investigational/ experimental status
• Vaccinations for travel
• Hair-growth stimulants
• Fertility agents and impotence drugs
• Select over-the-counter products
• ​Co​ugh preparations containing codeine

Accessing your Pharmacy Benefits

How do I access my pharmacy benefits? And how does payment work?

1. As an eligible FNHA client, you visit a physician/nurse practitioner
2. Your physician/nurse practitioner writes a prescription for you. 
3. You take your prescription to the pharmacy.
4. Your pharmacist will enter your benefit infor​mation into their point-of-sale-system, PharmaNet. 
5. Prescriptions will adjudicate first through PharmaCare Plan W. Any items not covered by PharmaCare can also be adjudicated through a third party provider and then NIHB, which will continue to cover a small number of items for First Nations in BC.  
6. If you are prescribed a specific medication not on the Plan W formulary, your prescriber (physician or nurse practitioner) can apply for Special Authority for that medication.
7. PharmaCare reviews the request and determines eligibility based on program guidelines. 
8. Once a Special Authority is approved, the information is entered into PharmaNet and your prescription can be filled.

An appeals procedure for Pharmacy is being finalized. Information about the appeals procedure will be posted on our website once it is available.

Do you have questions?

Contact us at:

HealthBenefits@fnha.ca 

or call 

1.855.550.5454 

 Do you have questions?

​Contact us at 

HealthBenefits@fnha.ca 

or call 

1-855-550-5454 ​(Toll Free)

 How was your experience?

​We want to hear from you about your experience with FNHA Health Benefits. Please take 5-10 minutes to fill out our survey here:

​Feedb​ack ​

​This client satisfaction survey will help us understand BC First Nations experiences accessing FNHA Health Benefits. We will use this information to improve the quality of our services.​​

Downlo​ad a print version of the FNHA Health Benefits Client Satisfaction Survey​

FNHA-Health-Benefits-Client-Satisfaction-Survey.jpg

Click here

​Client Satisfaction Survey FAQs

​Click here
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