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. This program grants full benefit status to a drug, medical supply or medical device that otherwise would not be covered or only partially covered. Clickhere to view a list of Special Authority drugs.
If you would like access to the Special Authority Program, first you will need to register online here. You will also need to talk to your doctor as they will apply to Special Authority on your behalf. Bring this form to your doctor. If you are approved for the program, PharmaCare will notify your doctor, and you may request a copy of their decision as you might be required to submit the decision document to Pacific Blue Cross if your plan requires documentation before a drug is eligible.
Once you are approved, you may fill your prescription. With a successful application, PharmaCare will cover all or a portion of your drug cost (once a deductible has been satisfied) for the duration of time indicated on your decision document.