PharmaCare considers a drug for coverage upon receiving a request by the drug’s manufacturer. After completing its review, PharmaCare will decide whether a drug will be a full benefit, a partial benefit, a limited coverage benefit (covered only if a patient meets specific criteria) or a non-benefit.
This page outlines:
- how drug coverage decisions are made
- how you can provide input into those decisions
- why and when a coverage decision was made
- whether PharmaCare covers a specific drug
- how manufacturers can request that a drug be considered for PharmaCare coverage
