How to Apply for the Nova Scotia Family Pharmacare Program

Nova Scotia Family Pharmacare has no premium or fee to join. The copayment is 20% of each prescription price, capped by an annual family maximum set from income and family size.

Applies in: Nova Scotia

The short answer

Complete the Family Pharmacare Program Registration Form and submit it online, by mail, or by fax. You can register at any time, and there is no cost to register. The Government of Nova Scotia says the program has no premium or fee to join, and registration takes about 1 to 2 weeks.

The Family Pharmacare Program is a provincial drug assistance plan that helps families with the cost of prescription drugs, supplies, and related services. It offers protection for families who have no drug coverage, and help for families whose prescription costs become a financial burden.

Who the program describes

You can register if you are a Nova Scotia resident, have a valid Nova Scotia Health Card that is not expired, agree to the Canada Revenue Agency confirming your family income each year, and agree to provide information on the size of your family each year.

You are not eligible if you are currently getting drug coverage through the Seniors' Pharmacare Program, the Under 65-Long Term Care Pharmacare Plan, or the Department of Opportunities and Social Development Pharmacare Benefits Program.

Only one person per family applies. A family is a single adult 18 or older, an adult with a spouse or partner, an adult with dependant children, or an adult, spouse or partner, and all dependant children. A dependant child is 17 or younger, supported by you or your spouse or partner, and not married or living in a common-law relationship.

This guide covers registration only. It gives no advice on whether you qualify.

How the costs work

There is no premium. If you need prescriptions, you pay the full cost until you reach your deductible. The program sets an annual family deductible maximum and an annual family copayment maximum from your family size and annual income. The Family Pharmacare Program calculator on the Nova Scotia site can estimate both amounts from line 15000 of your Notice of Assessment.

The copayment is 20% of the prescription price. When you fill a prescription, the first 20% goes toward your annual copayment maximum and the remaining 80% goes against your annual deductible. Once both the deductible and the copayment maximum are paid in full, the program pays 100% of drug costs that are benefits under the program.

The Nova Scotia Formulary lists which drugs, supplies, and services are benefits under the program.

How to register

  • Read the program guide first. Review the detailed criteria in the Family Pharmacare Program Guide.
  • Complete the registration form. Complete the Family Pharmacare Program Registration Form (PDF). Before you start, have the Health Card number for each family member, Social Insurance Numbers for you and your spouse if that applies, and your spouse available to sign the form if that applies.
  • Submit the form and documents. Check the form for the supporting documents required, then submit online, by mail, or by fax. To submit online, you create an account or sign in and upload the registration form PDF and supporting documents. A paper form can be mailed to you if you contact the program.
  • Wait for the decision. Approval normally takes 1 to 2 weeks.
  • Renew by April 1. You need to renew your registration by 1 April each year. A renewal notice comes by mail or email, and renewing on time is your responsibility.

Tell both the Family Pharmacare Program and MSI Resident Services if your personal information changes, such as a change of address.

What the opened pages do not state

The Nova Scotia pages set each family's deductible and copayment maximums from that family's income and size, and they point to a calculator for an estimate, but they do not publish one deductible or copayment dollar amount that applies to every family, so this guide gives no universal dollar amounts. The pages also do not state which specific drugs are covered beyond pointing to the Nova Scotia Formulary, so this guide names no covered drugs.

Related guides:

Registering for Nova Scotia Family Pharmacare, in five steps

  1. Read the Family Pharmacare Program GuideThe registration page points applicants to the detailed program criteria in the guide before applying.
  2. Complete the registration formComplete the Family Pharmacare Program Registration Form, with a Health Card number for each family member and Social Insurance Numbers for you and your spouse.
  3. Submit the form and supporting documentsSubmit the completed form online, by mail, or by fax, with the supporting documents the form asks for.
  4. Wait one to two weeks for the decisionIt should take 1 to 2 weeks to find out if your registration is approved, longer if more information is needed.
  5. Renew by April 1 each yearRegistration must be renewed by 1 April each year. A renewal notice comes by mail or email, and renewing on time is your responsibility.

Questions people ask

How do I register for the Nova Scotia Family Pharmacare Program?

Review the Family Pharmacare Program Guide, complete the Family Pharmacare Program Registration Form, and submit it with the supporting documents the form lists. You can register any time, online through the registration page or by mailing or faxing the form. There is no cost to register.

What does Family Pharmacare cost?

There is no premium or fee to join, and if you need no prescriptions you pay nothing. If you need prescriptions, you pay the full cost until you reach your deductible, and a copayment of 20% of each prescription price. Annual family deductible and copayment maximums are set from your family size and annual income.

How do the deductible and copayment work together?

When you fill a prescription, the first 20% of the price goes toward your maximum annual copayment amount, and the remaining 80% goes against your maximum annual deductible. Once both amounts are paid in full, the program pays 100% of drug costs that are benefits under the program.

Who can register for Family Pharmacare?

A Nova Scotia resident with a valid Nova Scotia Health Card who agrees to the Canada Revenue Agency confirming family income each year and to providing family size information each year. You are not eligible if you are currently getting drug coverage through the Seniors' Pharmacare Program, the Under 65-Long Term Care Pharmacare Plan, or the Department of Opportunities and Social Development Pharmacare Benefits Program. Only one person per family can apply.

How long does registration take?

It should take 1 to 2 weeks to find out if your registration is approved. It can take longer if more information is needed or if the application was not filled in correctly.

Does my Health Card change when I enrol?

Yes, in effect. Once you are enrolled in the program, your Health Card becomes your Pharmacare Card, and you use it at the pharmacy for program benefits.

Sources

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