First Nations and plan W

As of October 1, all First Nations patients became beneficiaries of PharmaCare. PharmaCare coverage rules now apply, which means coverage of some medications will change.

One area affected by the transition is special authority (SA). Physicians who have obtained prior approval from non-insured health benefits (NIHB) in the past for limited use benefit drugs for patients may need to apply for SA for these medications. For example, apixaban requires prior approval from NIHB and also requires SA from PharmaCare, but the criteria are different. For more information, refer to the October edition of the BC PharmaCare Newsletter. For a list of drugs requiring SA, visit the Special Authority section on the BC government website.