You can review these Pharmacy Providers' Quick Links for a summary of resources to support the delivery of services to First Nations Health Authority (FNHA) clients.
The majority of pharmacy benefits for First Nations in British Columbia (BC) are administered through a partnership between BC PharmaCare (Plan W) and the FNHA. Plan W (for Wellness) provides 100% coverage of eligible prescription costs, as well as certain over-the-counter drugs and non-drug items for First Nationals individuals in BC. Please visit the Plan W webpage for more information on covered items.
The FNHA has also partnered with Pacific Blue Cross (PBC) to administer additional pharmacy benefits to support First Nations health and wellness. Please register with PBC ProviderNet for more information on covered items and online claims submission.
See the Pharmacy Benefit page for additional information on covered items. Note that some supplies provided by pharmacies are covered under the FNHA Medical Supplies & Equipment plan. You can call Health Benefits at 1-855-550-5454 to learn more about what is covered under the pharmacy benefit.
The Health Benefits' Transitional Payment Request Form provides coverage for a one-time fill per drug per patient in situations where there is a coverage issue that is expected to be resolved soon. Pharmacists will be reimbursed $10.00 in addition to the usual drug cost and dispensing fee for supporting the client. Pharmacists should follow up to address the coverage issue before the next fill when necessary. If you have any questions, please call Health Benefits at 1-855-550-5454.
If you are assisting a First Nations individual who is a BC resident but is not receiving coverage for Plan W benefits, please have them call Health Benefits at 1-855-550-5454 to confirm enrollment.
See the Eligibility page for more details.
If you are assisting a Health Benefits client who is temporarily outside of BC, please see the fact sheet Assisting Health Benefits Clients Outside BC.