Plan members are required to apply for provincial coverage before submitting expenses to Pacific Blue Cross. This helps control cost and ensures the long-term sustainability of your Pacific Blue Cross drug plan.*
The following drugs require an application for BC PharmaCare Special Authority before they will be considered for coverage. For more details regarding the requirements of your plan, please sign in to your Member Profile at pac.bluecross.ca/Member.
Once you are signed in, you can use the Drug Lookup tool to determine the eligibility of the drug and to verify if BC PharmaCare special authority approval is required or if coverage may be considered regardless of BC PharmaCare’s decision.
If approved through BC PharmaCare Special Authority, most pharmacies in BC are able to transmit the approval electronically with your claim. However, if your pharmacy does not have this capability or if you have received a BC PharmaCare denial, a copy of BC PharmaCare’s decision must be submitted to Pacific Blue Cross in order for eligibility to be considered under your plan.
* If approved, the cost will be applied toward your BC PharmaCare deductible. Once the BC PharmaCare deductible has been satisfied, BC PharmaCare will pay a portion or all of the cost of the prescription. Expenses not covered by BC PharmaCare may be covered under your PBC extended health care plan. Integration between BC PharmaCare and PBC coverage helps lower costs and ensures sustainability of drug coverage.