Items Covered
You can see which items are covered under the pharmacy benefit and which require approval, by using the
PharmaCare Formulary Search, or Pacific Blue Cross
ProviderNet.
You can also review these Pharmacy Providers' Quick Links for resources to support the delivery of services to Health Benefits clients.
Transition Payment Request Form
The Health Benefits’
Transition Payment Request Form permits a one-time fill per drug per patient, if appropriate. Pharmacists will be reimbursed $10 in addition to the usual drug cost plus dispensing.
Help Enroll Clients in Plan W
To enroll Health Benefits clients with Plan W, or to update client information, use the
MSP Registration Form and the
MSP Change Request Form. FNHA encourages pharmacy providers to help enroll Health Benefits clients into Plan W, which will ensure that clients have the most comprehensive benefit coverage available. Pharmacy providers who submit an MSP Registration Form for an eligible Health Benefits client who is not yet enrolled in Plan W will be paid a $10 MSP Enrolment Service Fee.
Assisting Clients Outside of BC
If you are assisting a Health Benefits client who is temporarily outside of BC, please see the fact sheet
Assisting Health Benefits Clients Outside of BC.