High Cost Drug Program

If you need assistance paying for medications, you may be eligible for coverage of approved medication costs through the High Cost Drug Program.  

Am I eligible?

You will qualify for assistance according to your household income, if you have a PEI Health Card and have been diagnosed with one of the following approved medical conditions:

Ankylosing Spondylitis:
If you have been diagnosed with moderate to severe ankylosing spondylitis, you may be eligible for coverage of approved medication costs.

Cancer:
You may be eligible for coverage of approved medication costs if you have been diagnosed with:

  • chronic myelogenous leukemia;
  • advanced/metastatic breast cancer;
  • renal cell carcinoma; or
  • metastatic colorectal cancer

Crohn’s Disease: 
You may be eligible for coverage of approved medication costs if you have been diagnosed with moderate to severe or fistulizing Crohn’s Disease.

Multiple Sclerosis:
You may be eligible for coverage of approved medication costs if you have been diagnosed with relapsing-remitting or progressive Multiple Sclerosis. Complete the High Cost Drug Program Application Form [PDF | 33 KB]. Your physician or diagnosing specialist must complete your Medical Screening Form [PDF |107 KB].

Plaque Psoriasis:
You may be eligible for coverage of approved medication costs if you have been diagnosed with Plaque Psoriasis.

Psoriatic Arthritis:
You may be eligible for coverage of approved medication costs if you have been diagnosed with Psoriatic Arthritis.

Pulmonary Hypertension:
You may be eligible for coverage of approved medication costs if you have been diagnosed with Pulmonary Hypertension.

Rheumatoid Arthritis:
You may be eligible for coverage of approved medication costs if you have been diagnosed with Rheumatoid Arthritis.

Wet Age-Related Macular Degeneration:
You may be eligible for coverage of approved medication costs if you have been diagnosed with Wet Age-Related Macular Degeneration.

How do I apply?

  1. Submit a completed High Cost Drug Program Application form [PDF | 33 KB].  
  2. Your physician or diagnosing specialist must submit a completed Special Authorization Request form, and any appropriate medical information on your behalf.
  3. You must re-apply for coverage two months prior to your expiry date.
  4. Your eligibility for coverage and level of co-payment will be confirmed in writing.

How much of the medication cost will be covered?

Your cost of the medication will depend on your household income. You must also pay a pharmacy professional fee, which may vary with each pharmacy. The remainder of the medication cost will be paid to the pharmacy directly.

Where can I get my medication?

You can fill your prescription at any community retail pharmacy located in Prince Edward Island. You will receive up to a 30-day supply of medication.

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.

How can I contact PEI Pharmacare?

PEI Pharmacare 
16 Fitzroy Street
Sullivan Building
Charlottetown, PE   C1A 7N8

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

 

Published date: 
December 2, 2015
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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

Your Health Privacy

Media Inquiries
Phone: (902) 368-6135

Health PEI Board of Directors
Phone: (902) 368-4637

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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