Family Health Benefit Drug Program

If you are a low-income family, you may qualify for the Family Health Benefit Drug Program which helps cover the cost of approved prescription medications for you and your children if they are under the age of 19 or under the age of 25 and a full-time student

Am I eligible?

You are eligible for the program if you:

  • have a PEI Health Card; and
  • are a low-income family supporting at least one child in the approved age categories.

How do I apply?

  1. Submit a completed Family Health Benefit Application form [PDF | 471 KB].
  2. If you are applying for a child under the age of 25 who is a full-time student, proof of enrolment from the educational institution must accompany your application. 
  3. If joint custody of the qualifying child exists, both parents may apply to the program. 

How much of the medication cost will be covered?

Assistance is based on family size and household income. While the program will cover the full cost of medication, you must pay the pharmacy dispensing fee.

  • If you have 1 child, your net annual family income to qualify must be less than $24,800
  • If you have 2 children, your net annual family income to qualify must be less than $27,800
  • If you have 3 children, your net annual family income to qualify must be less than $30,800
  • If you have 4 children, your net annual family income to qualify must be less than $33,800. If you have more than 4 children, add $3,000 for each additional child 

When will coverage begin?

If approved, your coverage will begin on the date noted in your approval letter, and will continue until September 30. You must re-apply each year before your coverage expires.

Coverage ends when you have no children under the age of 19 or under the age of 25 who are full-time students.

What if my medication is not listed in the PEI Pharmacare Formulary?

Some medications in the PEI Pharmacare Formulary are approved on a special authorization basis only. If your physician prescribes a drug in this category, he or she can submit a Standard Special Authorization Request form [PDF | 34 KB] to have a medication considered for coverage.

If your medication is not included in the PEI Pharmacare Formulary, it will not be eligible for coverage.  

Where can I get my medication?

You can fill your prescription at any community retail pharmacy located in Prince Edward Island.

Will I get a refund for medication I already purchased?

Coverage is not retroactive, you will not be reimbursed for medications you have already purchased.

What if I move away from PEI?

Your eligibility for this program will end the day you leave PEI to take up residency elsewhere.

Who can I contact for more information?

PEI Pharmacare 

16 Fitzroy Street
Sullivan Building
Charlottetown, PE   C1A 7N8

Telephone: (902) 368-4947 
Toll free: 1-877-577-3737

 

Published date: 
August 18, 2016
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General Inquiries

Health PEI
16 Garfield Street
PO Box 2000
Charlottetown, PE   C1A 7N8

Phone: (902) 368-6130
Fax: (902) 368-6136

healthpei@gov.pe.ca

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If you are experiencing a medical emergency, call 9-1-1 or go to the nearest emergency department.

If you are unsure what to do about a health issue or if you need health information, call 8-1-1.

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