Integrating PharmaCare with your Blue Cross drug plan
While many drugs are eligible for funding from PharmaCare, there are some drugs
that require "Special Authority" from PharmaCare. These drugs require your doctor
to fill out a form to apply for coverage. A full list of eligible special authority drugs is available
on the PharmaCare website.
How to access PharmaCare's special authority coverage
Your Blue Cross claims statement and your pharmacist (if your plan includes a BLUEnet
pay direct drug card) will let you know when a drug you have been prescribed and
claimed is eligible for coverage under PharmaCare's Special Authority program.
If you receive this message, speak with your physician to determine whether the
drug you require may be eligible for Special Authority. If so, ask your physician
to apply on your behalf.
Before your doctor can apply for this funding on your behalf, you must be registered
with PharmaCare. If PharmaCare approves this application for coverage, they will
notify your physician and he/she is responsible for contacting you and providing
you with a copy of PharmaCare's decision document.
Special Authority must be in place before you purchase a drug. Coverage cannot be
provided retroactively. It's important that you apply as soon as possible. We've
created an easy to use, step-by-step guide to help you.