Important change in prescription drug coverage coming for FNHA clients―new PharmaCare program

First Nations Health Authority (FNHA) and BC PharmaCare are working together to ensure the smoothest possible transition to the new PharmaCare plan from Health Canada’s current Non-Insurance Health Benefits (NIHB) program.

The vast majority of FNHA clients will be enrolled in PharmaCare “Plan W” prior to the transition. Special authorities for clients with existing treatments will be in place prior to the transition, which also includes clients taking drugs on the reference drug program.

Although most FNHA clients will continue to be eligible for the medications they need, a small percentage of clients will have to adjust drug therapies as they switch to the PharmaCare formulary. Information about which drugs are affected is posted at FNHA.ca/benefits.

With this change, physicians should be aware of the following considerations for FNHA clients:

  1. Select over-the-counter drugs, and medical supplies and equipment are currently provided through NIHB, and will continue until further notice.
  2. PharmaCare cannot pay for prescriptions outside of the province. FNHA clients are strongly encouraged to plan ahead if travelling out of province beyond October 1, 2017, and to fill prescriptions at a pharmacy in BC in advance.

Detailed information on these changes and how they affect physicians and their patients will be communicated closer to the October 1, 2017 transition date and posted on the FNHA website at FNHA.ca/benefits.

Questions can be directed to FNHA at 1-855-550-5454 or via email at HealthBenefits@fnha.ca.