How to access PharmaCare’s Special
Authority Program for prescription drugs
One of the most important things you can do to control
cost and ensure the sustainability of your benefits plan is to
access PharmaCare’s Special Authority program for certain
prescription drugs considered limited coverage drugs.
For the list of Special Authority drugs, visit
Follow these steps for the Special Authority Program:
To benefit from PharmaCare coverage, you must
register online on here
or by phone at 604 683-7151 (toll-free 1 800 663-7100),
Monday to Friday 8 a.m.–8 p.m. and Saturday
8 a.m.–4 p.m
Talk to your doctor. Your doctor applies to PharmaCare
for Special Authority on your behalf. Forms are available
online at here. They must be completed by a
physician* and faxed to PharmaCare.
PharmaCare notifies your doctor of their decision by
fax. You can request a copy of this decision document
from your doctor or by calling PharmaCare directly
(see Step 1 for phone numbers).
You may be asked to submit it to Pacific Blue Cross if
your plan requires PharmaCare documentation before
the drug is eligible.
Fill your prescription. If your application was
approved, PharmaCare will cover all or a portion of
your drug cost (once your PharmaCare deductible has
been satisfied) for the duration of time indicated on
the decision document.
Follow your standard claiming procedure with
Pacific Blue Cross.
*Some doctors have automatic Special Authority privileges and are not required to submit a form.