Some pharmacies may charge above the usual and customary costs. When this occurs, your costs may be in excess of those covered by the plan. Official receipts may be submitted to the plan with a written request for review.
A wide variety of prescription drugs are covered under the AFBS managed drug formulary.
Only those drugs prescribed by a Medical Doctor or other health care providers as may be legislated by your provincial government and eligible under the AFBS formulary are covered. This includes prescribed diabetic supplies.
This is a generic drug plan. This means that a pharmacist will dispense the generic equivalent to the brand name drug unless your Medical Doctor has specifically handwritten “no substitutes” on your prescription.
| I |
Prescription Drug Care |
| Reimbursement Percentage |
70% of the ingredient cost for each Insured Person |
| Annual Maximum for Each Insured Person |
| Year One |
Year Two |
Year Three |
|
| $1,000 |
$2,000 |
$3,000 |
Maximum increases each year |
|
| AFBS Drug Formulary |
The AFBS prescription drug formulary will be used to settle all drug claims. |
The cost of prescription drugs is comprised of two components: the ingredient cost and the dispensing fee. The AFBS managed drug formulary reimburses 70% of the usual and customary ingredient cost of covered drugs only. Dispensing fees may vary by pharmacy and also by the type of prescription being dispensed. You are encouraged to speak to your pharmacist about their dispensing fee policies.
Program Handbook > I – Prescription Drug Care > Eligible Prescription Drug Care Expenses 