March 11, 2016
As of March 14, 2016, the Transition Fund will cover repeats of 30-days supplies of prescription drugs until March 31, 2017, or until the fund runs out.
This means that once you have claimed 30 days’ worth of prescriptions you will have to wait a period of time before processing the next prescription. The next claim will be allowed when a plan member is 80 per cent of the way through their current claim (e.g., day 24 of a 30-day claim) and this will continue until March 31, 2017 or until the funds runs out.
Claims for more than a 30-day supply will be rejected. (E.g., if you claim for 90 days of prescriptions, the claim will be rejected. The pharmacy will have to resubmit for a 30-day supply and you will have to return once the wait period is done.)
The other provisions of the Transition Fund remain the same.