revised medication review services policy

8/12/2019 Revised Medication Review Services Policy

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PharmaceuticalServicesDivision|MinistryofHealth Page11of33

8.9 MedicationReviewServices[RevisedEffectiveApril1,2014]

GeneralPolicyDescription

B.C.pharmaciescansubmitaclaimtoPharmaCareformedicationreviewservicesprovidedby

pharmaciststo

eligible

patients.

Amedicationreviewisapatientcareservicethatseekstoenhanceapatientsunderstandingof,and

improvethehealthoutcomesof,theirmedicationregimen.

Theserviceisprovidedbyapharmacistthroughoneonone,inpersonappointmentduringwhichthe

patientandpharmacistidentifyallmedicationsthatthepatientistaking,discusshowthemedications

arebesttakenand,whereappropriate,createamedicationmanagementplantoaddressanyissues.At

theendoftheappointment,thepharmacistprovidesthepatientwithoneormoredocumentslisting

theirmedications.

ThispolicystandardizeshowmedicationreviewservicesaredeliveredacrossB.C.

Thethreetypesofmedicationreviewserviceseligibleforpaymentare:

MedicationReviewStandard(MRS) MedicationReviewPharmacistConsultation(MRPC) MedicationReviewFollowUp(MRF).PolicyDetails

Policiesapplicabletoallmedicationreviewservices

PharmacistsshouldensuretheyarefamiliarwiththeentirecontentsofthissectionofthePharmaCarePolicyManualbeforedeliveringandsubmittingclaimsforamedicationreviewservice.

Thissectioncontainsthefollowingpoliciesapplicabletoallmedicationreviewservices: 1Determiningpatienteligibility 2Documentingmedicationreviewservicedelivery 3Obtainingpatientsignatureinacknowledgementsection 4Claimingmedicationreviewservicesfees

1Determiningpatienteligibility

Beforeperformingamedicationreviewserviceforaconsentingpatientforwhichaclaimwillbesubmitted,pharmacistsmustensurethepatientiseligibleforPharmaCarecoverageofthatservice.

Inadditiontothepatienteligibilityrequirementsthatapplytoallmedicationreviewservices(seetablebelow),therearespecificeligibilitycriteriaforeachtypeofmedicationreviewservice.

>>Forspecificeligibilityrequirementsforeachmedicationreviewservice,refertothePatientEligibility

forMedicationReviewStandard,PatientEligibilityforMedicationReviewPharmacistConsultation,

andPatientEligibilityforMedicationReviewFollowupsections.


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Tobeeligibletoreceiveanyofthethreemedicationreviewservices(includingfollowupappointments),thepatientmustmeetallofthecriteriainthetablebelow:

PatientEligibilityCriteriaForAnyMedicationReviewService

Thepatientmust Notes

BearesidentofB.C. Thatis,theymusthaveapermanentaddressinB.C.

verifiedby

aB.C.

drivers

licence,

BC

Services

Card

or

BC

CareCardorotherIDcard.

HaveaB.C.PersonalHealthNumber(PHN) B.CresidentswhohaveaB.C.PHNdonotneedtobe

registeredfor,orhave,PharmaCarecoveragetobe

eligibleformedicationreviewservices.

NonInsuredHealthBenefits,VeteransAffairsCanada

andCanadianArmedForcesbeneficiariesareeligible

formedicationreviewservices.

NotbecoveredunderPharmaCarePlanB Medicationreviewservicesforindividualsinresidential

carefacilitiesarealreadyfundedthroughPharmaCare

PlanB.

Haveatleastfivedifferentqualifyingmedicationsthat

havebeenenteredintoPharmaNet:

withinthelastsixmonths,andbeforethemedicationreviewserviceisprovided*

>>SeeDeterminingpatienteligibilityqualifying

medicationsfordetails.

*Qualifyingmedicationscanbeenteredinto

PharmaNetonthedayofthemedicationreviewservice

iftheyareenteredbeforetheclaimforthemedication

reviewissubmitted.

Haveaclinicalneedforservice >>SeeDeterminingpatienteligibilityclinicalneedfor

details.

Havenotexceededtheallowablenumberof

medicationreview

services

>>SeeDeterminingpatienteligibilityallowable

numberof

medication

review

services

for

details.

Pharmacistsareresponsibleforcheckingthepatients

PharmaNetrecordforpriorservices.

SigntheacknowledgementontheBestPossible

MedicationHistoryform

>>SeeObtainingpatientacknowledgement fordetails.

Determiningpatienteligibilityqualifyingmedications

IndividualDINsandPINsmaybecountedonlyonce. AqualifyingmedicationisoneofthefollowingthathasbeenenteredintoPharmaNet:

AprescriptionmedicationAnonprescriptionmedicationAnutritionalsupplement(e.g.,cysticfibrosisnutritionalsupplementscoveredunderPlanD)AprivatelyorpubliclyfundedinjectionsuchasavaccinationNote:PrivatelyfundedinjectionsarerecordedinthepatientsprofilewithaDIN;publiclyfunded

injectionsarerecordedwithaPIN.

Acompoundedmedication(withadiscretePIN)


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Determiningpatienteligibilitynon-qualifyingproductsandservices

Productsthatdonotqualifyinclude: prescriptionswithaDiscontinuedstatusinPharmaNetprescriptionsthathavebeenreversedinPharmaNetprescriptionswithaNotFilledstatusinPharmaNetnondrugsupplies,includingbutnotlimitedto:

bloodglucosetestingsupplies(strips,lancets,needles) insulinpumpsandpumpsupplies(e.g.,infusionkits) medicalsupplies(e.g.,orthoses,prostheses,gloves)

Determiningpatienteligibilityclinicalneed

Whendeterminingapatientseligibilitytoreceivemedicationreviewservices,clinicalneedmustbeidentifiedandclearlydocumentedasoneormoreofthefollowing:

prescriberhasrequestedamedicationreviewpatienthasmultiplediseasespatienthasoneormorechronicdiseasespatientsmedicationregimenincludesoneormorenonprescriptionmedicationspatientsmedicationregimenincludesoneormorenaturalhealthproducts(NHPs)patienthasadrugtherapyproblempatientwasrecentlydischargedfromhospitalpatienthasmultipleprescriberspatientisreceivingmedication(s)thatrequirelaboratorymonitoring

The

seven

types

of

drug

therapy

problems

(DTPs)

are:

1. unnecessarydrug2. needsadditionaldrug3. ineffectivedrug4. dosagetoolow5. dosagetoohigh6. adversedrugreaction7. patientselfmanagement(nonadherence)thatis,thepatientisnottakingthedrugappropriately.

Determiningpatient

eligibilityallowable

number

of

medication

review

services

Eligiblepatientsmayreceivecoveragefor: eitheroneMedicationReviewStandard(MRS)oroneMedicationReviewPharmacistConsultation(MRPC)service(butnotboth)every6months,and

uptofourMedicationReviewFollowUp(MRF)servicesevery12months.>>Forspecificeligibilityrequirementsforeachmedicationreviewservice,refertotheRequired

ActivitiesforMRS,RequiredActivitiesforanMRPC,and2RequiredActivitiesforanMRF.


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Patientswhoreceivemedicationreviewservicesfromdifferentpharmaciesarestillsubjecttothecoveragelimitsdescribedabove(i.e.,coveragelimitsareperpatientnotperpharmacy).

Toensurecoverageisavailable,pharmacistsshouldreviewapatientsPharmaNetprofiletodeterminewhetherthepatienthasreachedtheirmaximumnumberofallowablemedicationreview

servicesbeforetheyconductthemedicationreview.

Medicationreviewserviceclaimsinexcessofthemaximumallowablewillnotbereimbursedeveniftheclaimsaresubmittedbydifferentpharmacies.

PharmaNetcannotrejectmedicationreviewserviceclaimsinexcessofthemaximumallowableatthetimeofsubmission.Theseclaimsareadjudicatedinmonthlybatches.Anyclaimsinexcessofthe

maximumallowablefoundatthattimewillbedisallowed.

2Documentingmedicationreviewservicedelivery

PharmaCarerequirespharmaciesthatsubmitaclaimformedicationreviewservicestoretainspecificdocumentationtosupporttheirclaim.

Documentingmedicationreviewservices:providesauditableproofthataneligiblemedicationreviewserviceoccurredprovidespatients,caregivers,andotherhealthcareprofessionalswithaccurate,complete,andcurrentinformationaboutapatientsmedications.

ThethreeformsPharmaCarerequiresforuseindocumentingmedicationreviewservicesare:BestPossibleMedicationHistory(BPMH),including:

PatientsectionHealthCareProfessionalssection

Requiredforallmedicationreviewservices

DrugTherapyProblemform(DTPform) Requiredwheneverapharmacistidentifies

and/or

takes

action

to

resolve

a

patients

DTP

BestPossibleMedicationHistoryWorksheet Optional

Eachoftheseformsservesadifferentpurpose.Asaresult,pharmacistsmustcompletealltherequiredformsforaspecificmedicationreviewservice.TheRequiredDocumentationsubsection

ofeachmedicationreviewsectiondetailsthedocumentsrequired.

ThecontentoftheseformsconstitutestheminimumacceptabledocumentationrequiredforPharmaCarecoverageofamedicationreviewserviceclaim.Ifthesedocumentationrequirementsare

notmet,theassociatedclaimissubjecttorecovery.

>>Fordetails,seetheRequiredDocumentationsectionforeachmedicationreviewservice:MRS

RequiredDocumentation,

MR

PC

Required

Documentation,

and

MR

FRequired

Documentation.

PharmaCareprovidestemplatesforallmedicationreviewservicesforms.Pharmaciesmayusethetemplatestorecordrequiredinformation(seeFormtemplatesunderToolsandResourcesbelow)or

createtheirownforms.

PharmaciesthatcreatetheirownformsmustensurethoseformscontainallthetextandfieldtitlesaswellasallthefieldsshowninthePharmaCareversion.Fordetails,seeIfyouarecreatingyourown

forms.


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Documentretentionandstorage

Documentsmustberetainedinthesamemannerasotherpatientrecords.>>Formoreinformation,seethePharmaCarePolicyManual,Section10Audit.

3Obtainingpatientsignatureinacknowledgementsection

PharmaCarecoversmedicationreviewservicesonlyifthepatientortheirlegalrepresentativesignstheacknowledgementontheBestPossibleMedicationHistory(BPMH)formattheconclusionofthe

medicationreviewservice.

Wheneversomeoneelseisactingonapatientsbehalf,thepharmacymustretaindocumentationofthatpersonsrighttoactasthepatientslegalrepresentative.

Foreachmedicationreviewserviceprovided,thepatientortheirlegalrepresentativemustsignacknowledgementontheBestPossibleMedicationHistory(BPMH)form.

Note:TheHealthProfessionsAct(HPA)andPharmacyOperationsandDrugSchedulingAct(PODSA)

bylawsstatethat,forpurposesofcontinuityofcare,pharmacistscanshareinformationabouta

patient

with

other

healthcare

professionals

within

the

circle

of

care

without

having

to

obtain

specific

consentfromthepatienttodoso.

>>SeeHPABylaws,section71(UseofPersonalInformation)andsection72(DisclosureofPersonal

Information)andPODSABylaws,section21(2)(DataCollection,TransmissionofandAccessto

PharmaNetData)andsection22(Confidentiality).

4Claimingmedicationreviewservicesfees

Pharmaciesmustnotrequestoracceptadditionalfeesorpaymentsfromanypatientorthirdpartypayerinrelationtoamedicationreviewserviceforwhichafeewill,orhasbeen,claimedfrom

PharmaCare.

Onlyonefee(i.e.,MRS,MRPCorMRFfee)canbeclaimedforeachserviceappointment. ThemaximumPharmaCarereimbursesforacombinationofmedicationreviewservices,clinicalservices,oradministrationofvaccinesonthesamedayfromthesamepharmacyis$70.

Example:IfapharmacyclaimsanMRPC,thatpharmacycannotbereimbursedforanyotherserviceonthatdayorifapharmacysubmitsaclaimforanMRS,atherapeuticsubstitutionand

administrationofavaccineonasingleday,onlytheMRSandvaccineadministrationwillbeeligible

forreimbursement.

Toensuremaximumreimbursement,andtopreservetheaccuracyofthepatientsmedicationhistory,

please

submit

all

claims

whether

or

not

you

expect

the

claim

to

be

reimbursed.

Ifapharmacysubmitsclaimsonseparatedaysforthepurposeofcircumventingthispolicy,anyreimbursementinexcessofthe$70limitissubjecttorecovery.

>>SeeMRSClaimsforPayment,MRPCClaimsforPayment,andMRFClaimsforPayment.
http://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/ID/freeside/00_96183_01http://www.bclaws.ca/EPLibraries/bclaws_new/document/ID/freeside/00_96183_01http://www.bclaws.ca/EPLibraries/bclaws_new/document/ID/freeside/00_96183_01http://www.bclaws.ca/EPLibraries/bclaws_new/document/ID/freeside/00_96183_01http://www.bclaws.ca/EPLibraries/bclaws_new/document/ID/freeside/00_96183_01http://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/LOC/freeside/--%20p%20--/pharmacy%20operations%20and%20drug%20scheduling%20act%20sbc%202003%20c.%2077/00_03077_01.xmlhttp://www.bclaws.ca/EPLibraries/bclaws_new/document/ID/freeside/00_96183_01http://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdf


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Requiredactivitiesforallmedicationreviewservices

Whenpharmacistschoosetodelivermedicationreviewservices,allthreetypesofmedicationreviewservicesmustbe:

providedbyanauthorizedpharmacistorpharmacystudentunderthesupervisionofanauthorizedpharmacist.

providedasaoneonone,inpersonappointment(andnotbytelephoneoranyotherelectronicmeans),

providedinasuitableareathatthepatientacceptsasrespectfuloftheirrighttoprivacy,andprovidedanddocumentedinaccordancewiththespecificrequirementsofthispolicy.

>>Fordetailsonrequiredactivitiesforeachservicetype,seeMRSRequiredActivities,MRPCRequired

Activities,andMRFRequiredActivities.

Documentingmedicationreviewservicesthatarenoteligibleforreimbursement

PharmacistswhoconductamedicationreviewserviceforapatientwhodoesnotmeetthePharmaCareeligibilityrequirementsareencouragedtocreatearecordofserviceinPharmaNet.

UsetheMedicationReview NonBenefitPIN99000504and,intheSIGfield,enterthe10digitphonenumberofthepharmacywheretheservicetookplacetorecordtheservice.

Theclaimwillnotbepaid,butthepatientsPharmaNetrecordwillindicatetootherhealthcareprofessionalsthatamedicationhistoryisavailable.

PoliciesandrequiredactivitiesforeachmedicationreviewservicecoveredbyPharmaCare

Thissectionincludesrequiredactivitiesfor:MedicationReviewStandard(MRS)Medication

ReviewPharmacist

Consultation

(MR

PC)

MedicationReviewFollowUp(MRF)MedicationReviewStandard(MR-S)

RequiredActivities

ForanMRStobeeligibleforPharmaCarereimbursement,thefollowingactivitiesmustbecarriedout

andtheirresultsdocumentedineachoftherequiredform(s).

RequiredActivity Documenttheactivityresultsin

1

Confirm

the

patient

meets

all

the

criteria

in

1Determining

patienteligibility,underPoliciesapplicabletoallmedication

reviewservices.

No

documentation

required.

2 Ifthepatientmeetsalleligibilityrequirements,documentthe

patientinformationgatheredinStep1above.

Patientsectionof

BPMHWorksheet(optional)BPMH

3 Documenttheclinicalneed(s)thatarethereason(s)forproviding

theservice.

ClinicalNeedforServicesectionofBPMH
http://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.doc


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4 Collectanddocumentinformationaboutpatientmedicalissues

suchasknownallergiesandreactions.Informationiscollected

frommultiplesourcesincludingbutnotlimitedto:

PharmaNetprofile localpharmacymedicationprofile interviewwithpatientortheirlegalrepresentativehospitaldischargesummaries

ClinicalInformationsectionofBPMHWorksheet(optional)

Ifapplicable,KnownAllergiesandReactionssectionofthe1BPMH

5 Collectanddocumentallpertinentinformationaboutthe

patientscurrentandrecentlydiscontinuedmedications

(includingprescriptionmedications,nonprescriptionmedications,

andnaturalhealthproducts).Collectinformationfrom:

PharmaNetprofile localpharmacymedicationprofile interviewwithpatientortheirlegalrepresentativeprescriptionmedication,nonprescriptionmedicationornaturalhealth

product

labels

hospitaldischargesummariesotheravailablerecordsDeterminewhetherthepatientiscurrentlytakingeachmedication

andhowtheyaretakingit.

Documentanyclinicallyrelevantmedicationsthepatientisno

longertaking.

ClinicalInformationandAdditionalMedicationssectionsofBPMH

Worksheet(optional)

MedicationsITake,CurrentMedicationsand,ifapplicable,

ClinicallyRelevantMedicationsThe

PatientIsNoLongerTakingsections

oftheBPMH

6 Discuss,review,anddocumentthedetailsofeachmedicationthe

patientiscurrentlytakingwiththepatientortheirlegal

representative,including:

what

medication

the

patient

is

taking

(e.g.,

the

name,

strength,

andformofmedication)

whythepatientistakingeachmedication(e.g.,whatdisease,conditionorsymptomsthemedicationalleviates/controls)

howbesttotakeeachmedication(e.g.,whentotakeit,howtotakeit,warnings,etc.)

anyspecialinstructions

MedicationsITakeandCurrentMedicationssectionofthe1BPMH

7 Documentallinformationrelevanttocontinuityofcare(e.g.,

detailsaboutdecisions,evaluations,plansofaction,andother

directionsorobservations).

NOTE:IfadrugtherapyproblemisidentifiedduringanMRS,the

pharmacistis

professionally

responsible

for

taking

action

by

workingtoresolvetheissueorbyreferringthepatienttoan

appropriatehealthcareprofessional.Ifthepharmacisttakesaction

toresolvetheissueandcompletesoneormoreDTPforms,aclaim

foranMRPCmaybesubmittedinsteadofaclaimforanMRS.

ForMRPCrequiredactivitydetails,seeMRPCRequiredActivities.

HealthCareProfessionalssectionoftheBPMH(includingPrescriber

Name,Verified,Action,andNotes

segments)
http://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.doc


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8 Ensureallformsarefullycompleted,includingthenameand

RegistrationIDofthepharmacist,andthecontactinformationfor

thepharmacy,providingtheservice(toenablehealthcare

professionalstorequestthepatientsinformation).

Pageheadersof BPMHWorksheet(optional) 1BPMH

9 Obtainsignatureofpatientortheirlegalrepresentativeinthe

PatientAcknowledgement

section

of

the

BPMH.

Ifsomeoneelseisactingonthepatientsbehalf,obtain

documentationofthatpersonsrighttoactasthepatientslegal

representative.

Retainthesignedoriginalforyourrecords.

PatientAcknowledgementsectionof

BPMH,

signed

and

dated

by

patientortheirlegalrepresentative

Ifapplicable,documentationofanotherpersonsrighttoactasthe

patientslegalrepresentative

10 ProvideacopyofthecompletedandsignedPatientsectionofthe

BPMHtothepatientortheirlegalrepresentative.

ItisnotnecessarytoprovidetheBPMHHealthCareProfessionals

sectiontothepatient.Itisdesignedforusebycliniciansonly.

CopyofcompletedandsignedPatientsectionofthe1BPMH

11

Store

all

documents

together

for

future

reference.

(For

details,

seePharmaCarePolicyManual,Section10Audit).

BPMHWorksheet(ifused) 1BPMH(original,signedbypatientortheirlegalrepresentative)

Ifapplicable,documentationofanotherpersonsrighttoactasthe

patientslegalrepresentative

12 Submitthemedicationreviewserviceclaimonthedateofservice

delivery,usingtheappropriatePIN.

Thisensuresotherpharmaciesknowthatyouhavedeliveredthe

servicetothepatientandmakestheclinicalinformationavailable

tootherhealthcareprovidersinatimelyfashion.

>>See

Submitting

Claims

for

the

appropriate

PIN

and

data

entry

instructions.

MRSclaimonPharmaNet

13 Whenyoureceivearequestformedicationreviewinformation

fromahealthcareproviderwithinthepatientscircleofcare:

FaxacopyoftheBPMHPatientInformationandHealthCareProfessionalssectionstotherequestorassoonaspossible.

Recordtherequestorsnameandcontactinformation,thedateonwhichtherequestwasmade/fulfilledandthename(s)ofthe

formsthatweresharedinyourfiles.

FaxedcopyoftheentireBPMH(mandatory)

Recordofrequest

Required

Documentation

TosupportyourclaimforanMRSservice,retainthefollowingdocumentationinamanneraccessibleforaudit:

completedBPMHoriginal,signedanddatedbypatientortheirlegalrepresentative ifapplicable,documentationofanotherpersonsrighttoactasthepatientslegalrepresentative awrittenrecordofanyrequestsforacopyofapatientsBPMH
http://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.doc


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ClaimsforPayment

Foraneligiblepatient,thepharmacycansubmitaclaimtoPharmaCarefora$60MRSfee. TheclaimmustbesubmittedonPharmaNetonthedatethemedicationreviewserviceisprovidedtothepatient.

SubmittheclaimusingtheappropriatePINandtheCollegeRegistrationIdentification(RegID)ofthepharmacist

who

provided

the

service

to

the

patient.

Thepharmacymustenterthe10digitpharmacyphonenumberinthefirst20spacesandinfrontofanyotherinformationthatappearsintheSIGfieldonthepatientsPharmaNetprofiletofacilitate

continuityofcareandsharingoftheBPMHwithinthecircleofcare.

>>Fordetails,seeSubmittingclaimsforpayment.

>>Forinformationonclaimlimits,seePoliciesApplicabletoAllMedicationReviewServices,

4Claimingmedicationreviewservicesfees.

MedicationReviewPharmacistConsultation(MR-PC)

RequiredActivities

ForanMRPCtobeeligibleforPharmaCarereimbursementthefollowingactivitiesmustbecarriedoutandtheresultsdocumentedineachoftherequiredform(s).


1 EnsurethepatientmeetsthecriteriaforanMRPC.Thepatient

must:

meetallthepatienteligibilitycriteriadefinedin1Determiningpatienteligibility,underPoliciesapplicableto

allmedicationreviewservices,and

havehadaminimumofonedrugtherapyproblem(DTP)identified,resolved,anddocumentedduringthecourseofthe

medicationreviewservice.

Nodocumentationrequired.

2 Ifthepatientmeetstheeligibilityrequirements,document

patientinformationgatheredinStep1above.Patientsectionof

BPMHWorksheet(optional)BPMHDTPForm

3 Documenttheclinicalneed(s)thatarethereason(s)forproviding

theservice.


4

Collectand

document

information

about

patient

medical

issues

suchasknownallergiesandreactions.Informationiscollected

frommultiplesourcesincludingbutnotlimitedto:


ClinicalInformationsectionofBPMHWorksheet(optional)Ifapplicable,KnownAllergiesandReactionssectionofthe1BPMH
http://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.doc


10/20



5 Collectanddocumentallpertinentinformationaboutthe

patientscurrentandrecentlydiscontinuedmedications

(includingprescriptionmedications,nonprescriptionmedications

andnaturalhealthproducts).Collectinformationfrom:

PharmaNetprofile localpharmacymedicationprofile interviewwithpatientortheirlegalrepresentativeprescriptionmedication,nonprescriptionmedicationornaturalhealthproductlabels

hospitaldischargesummariesotheravailablerecordsDeterminewhetherthepatientiscurrentlytakingeachmedication

andhowtheyaretakingit.

Documentanyclinicallyrelevantmedicationsthepatientisno

longertaking.

ClinicalInformationandAdditionalMedicationssectionsofBPMH

Worksheet(optional)

MedicationsITake,CurrentMedicationsand,ifapplicable,

ClinicallyRelevantMedicationsThe

PatientIs

No

Longer

Taking

sectionsoftheBPMH

6

Discuss,review,

and

document

the

details

of

each

medication

the

patientiscurrentlytakingwiththepatientortheirlegal

representativeincluding:

whatmedicationsthepatientistaking(e.g.,thename,strengthandformofmedication)



anyspecialinstructions

MedicationsITakeandCurrentMedicationssectionsofthe1BPMH

7 Documentallinformationrelevanttocontinuityofcare

(e.g.,details

about

decisions,

evaluations,

plans

of

action,

and

otherdirectionsorobservations).

HealthCareProfessionalssectionofthe

BPMH

(including

Prescriber

Name,

Verified,Action,andNotessegments)

8 Documenttheidentificationofandactionstaken/tobetakento

resolveaminimumofoneDTP.

Workwiththepatientto:

identifytheDTP(s),prepareacareplantoresolveeachDTP, implementthecareplan,andmakeaplantomonitorandfollowuponresults.Document

all

DTP

related

decisions,

plans,

and

actions

decided

uponduringtheappointment.Notify(and,ifnecessary,

collaboratewith)themostresponsiblephysicianorother

prescriberabouttheDTP,careplan,andresultsachieved.

HealthCareProfessionalssectionoftheBPMH(includingPrescriberName,

Verified,Action,andNotessegments)

DTPform(s)(oneformforeachDTP)MedicationsITakeSpecialInstructionssectionofthe1BPMH




professionalstorequestthepatientsinformation).

Pageheadersof

BPMHWorksheet(optional) 1BPMH DTPform(s)
http://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmh-worksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmh-worksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmh-worksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmh-worksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.doc


11/20



10 Obtainsignatureofpatientortheirlegalrepresentativeinthe

PatientAcknowledgementsectionoftheBPMH.



representative.

Retainthe

signed

original

for

your

records.

PatientAcknowledgementsectionofBPMH,signedanddatedbypatientor

theirlegalrepresentative

Ifapplicable,includedocumentationofanotherpersonsrighttoactasthe

patientslegalrepresentative.

11 ProvideacopyofthecompletedandsignedPatientsectionofthe

BPMHtothepatientortheirlegalrepresentative.

CopyofcompletedandsignedPatientsectionofthe1BPMH

12 Storealldocumentstogetherforfuturereference.(Fordetails,

seePharmaCarePolicyManual,Section10Audit).


DTPform(s) Ifapplicable,includedocumentationofanotherpersonsrighttoactasthe







>>SeeSubmittingClaimsfortheappropriatePINanddataentry

instructions.

MRPCclaimonPharmaNet


fromahealthcare

provider

within

the

patients

circle

of

care:

FaxacopyoftheBPMHtotherequestorassoonaspossibleRecordtherequestorsnameandcontactinformation,thedateonwhichtherequestwasmade/fulfilled,andthename(s)ofthe

formsthatweresharedinyourfiles

FaxedcopyoftheBPMH(mandatory)FaxedcopyofDTPform(s)(optional,atpharmacistsdiscretion)

Recordofrequest

RequiredDocumentation

TosupportyourclaimforanMRPCservice,retainthefollowingdocumentationinamanneraccessibleforaudit:

completedBPMHoriginal,signedanddatedbypatientortheirlegalrepresentative aseparateDTPformforeachDTP ifapplicable,documentationofanotherpersonsrighttoactasthepatientslegalrepresentative ifapplicable,awrittenrecordofanyrequestforacopyofapatientsBPMHand/orDTPform(s)
http://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.doc


12/20


ClaimsforPayment

Foreligiblepatients,thepharmacycansubmitaclaimtoPharmaCarefora$70MRPCfee. If,duringtheMRPC,aDTPhasbeenresolvedbyanactionthathasaseparatelydefinedPharmaCareservicefee(e.g.,administrationofinjectionsand/oradaptationsofprescriptions),thepharmacymay

submittheclaimsasusual,butwillbereimbursedtoamaximumof$70.

TheclaimmustbesubmittedonPharmaNetonthedatethemedicationreviewserviceisprovidedtothepatient.

Thisensuresotherpharmaciesknowthatyouhavedeliveredtheservicetothepatientandmakesthe

clinicalinformationavailabletootherhealthcareprovidersinatimelyfashion.

SubmittheclaimusingtheappropriatePINandtheCollegeRegistrationIdentification(RegID)ofthepharmacistwhoprovidedtheservicetothepatient.


continuityofcareandsharingoftheBPMHand,ifapplicable,DTPForm(s)withinthecircleofcare.


>>Forinformationongeneralclaimlimits,seePoliciesApplicabletoAllMedicationReviewServices,

4Claimingmedicationreviewservicesfees.

MedicationReviewFollow-Up(MR-F)

RequiredActivities

ForanMRFtobeeligibleforPharmaCarereimbursementthefollowingactivitiesmustbecarriedoutandtheirresultsdocumentedineachoftherequiredform(s).

RequiredActivity

Document

the

activity

results

in

1 EnsurethepatientmeetsthecriteriaforanMRF.Thepatient

must:

meetallthepatienteligibilitycriteriadefinedin1Determiningpatienteligibility,underPoliciesapplicabletoallmedication

reviewservices,and

havealreadyreceivedacompleteMRSorMRPCwithinthelastyear,and

haveaclinicalneedthatrequireseither followupduetoasubsequentmedicationchange(thatis,achange

in

medication

that

is

entered

on

PharmaNet),

or

followuptoimplementand/orevaluatethepatientresponsetotheactiontakentoresolveaDTP.

Nodocumentationrequired.

2 Ifthepatientmeetsalleligibilityrequirements,documentpatient

informationgatheredinStep1above.

Patientsectionof BPMHWorksheet(optional) BPMH DTPForm(s)(ifapplicable)
http://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.doc


13/20



3 Documentthereason(s)forprovidingtheMRFservice:thatis,

patientsmusthaveaclinicalneedthatrequiresthefollowing:

followupduetoasubsequentmedicationchange(thatis,achangeinmedicationthatisenteredonPharmaNet),or

followuptoimplementand/orevaluatethepatientresponsetothe

action

taken

to

resolve

aDTP


4 Ifappropriate,reviewandupdateinformationaboutpatient

medicalissuessuchasknownallergiesandreactions.Information

iscollectedfrommultiplesourcesincludingbutnotlimitedto:


ClinicalInformationsectionofBPMHWorksheet(optional)

Ifapplicable,KnownAllergiesandReactionssectionofanewBPMH

5 Iftheserviceisafollowupduetoasubsequentmedication

change(i.e.,achangeinmedicationthatisenteredon

PharmaNet):

speakwiththepatienttoreview,correct,orupdateinformationandimprovethepatientsunderstandingaboutthosechanges

including:

whatmedicationsthepatientistaking(e.g.,thename,strength,andformofmedication)



completeanewBPMHPatientsectionupdatethepatientspreviousBPMHHealthCareProfessionalssectionorgenerateanewone.

RelevantsectionsoftheBPMH

6 Iftheserviceisafollowuptoimplementand/orevaluateprogress

towardsresolvingthepatientsDTP(s):

reviewandevaluatethepatientsprogresswiththeirdrugtherapyproblemplanand,ifnecessary,modifytheplantohelp

thepatientreachtheirgoals

completeanewBPMHPatientsectionupdatethepatientspreviousBPMHHealthCareProfessionalsSectionorgenerateanewone

UpdateeachpreviousDTPformwithnewinformationorgenerate

anew

one

for

each

DTP.

Relevantsectionsof: anewBPMHPatientsectionand aneworupdatedBPMHHealthCareProfessionalsSection

NeworupdatedDTPform(s)(oneformforeachDTP)

7 Documentallinformationrelevanttocontinuityofcare(e.g.,

detailsaboutdecisions,evaluations,plansofaction,andother

directionsorobservations).

HealthCareProfessionalssectionoftheneworupdatedBPMH(including

PrescriberName,Verified,Action,and

Notessegments)
http://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.doc


14/20






professionalstorequestthepatientsinformation)

Pageheadersof BPMHWorksheet(optional) 1BPMH DTPform(s)(ifapplicable)

9

Obtain

signature

of

patient

or

their

legal

representative

in

the

PatientAcknowledgementsectionoftheBPMH.



representative.

Retainthesignedoriginalforyourrecords.

PatientAcknowledgementsectionofBPMH,signedanddatedbypatientortheirlegalrepresentative

Ifapplicable,includedocumentationofanotherpersonsrighttoactasthe


10 Provideacopyofthenew,completedandsignedPatientsection

oftheBPMHtothepatientortheirlegalrepresentative.

Copyofnew,completedandsignedPatientsectionofthe1BPMH

11 Storealldocumentstogetherforfuturereference.(Fordetails,

seePharmaCare

Policy

Manual,

Section

10Audit).


DTPform(s)(ifapplicable)Ifapplicable,includedocumentationofanotherpersonsrighttoactasthe







>>SeeSubmittingClaimsfortheappropriatePINanddataentry

instructions.

MRFclaimonPharmaNet


fromahealthcareproviderwithinthepatientscircleofcare:

FaxacopyoftheBPMHtotherequestorassoonaspossibleRecordtherequestorsnameandcontactinformation,thedateonwhichtherequestwasmade/fulfilled,andthename(s)ofthe

formsthatweresharedinyourfiles

FaxedcopyoftheBPMH(mandatory)FaxedcopyofDTPform(s)(optional,atpharmacistsdiscretion)

Recordofrequest

RequiredDocumentation

TosupportyourclaimforanMRFservice,retainthefollowingdocumentationinamanneraccessibleforaudit:

newBPMHPatientInformationsection,originalsignedbythepatientortheirlegalrepresentativeneworupdatedversionoftheBPMHHealthCareProfessionalssection, ifapplicable,aneworupdatedDTPformforeachDTP ifapplicable,documentationofanotherpersonsrighttoactasthepatientslegalrepresentative
http://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pins/methpins.htmlhttp://www.health.gov.bc.ca/pharmacare/pins/methpins.htmlhttp://www.health.gov.bc.ca/pharmacare/pins/methpins.htmlhttp://www.health.gov.bc.ca/pharmacare/pins/methpins.htmlhttp://www.health.gov.bc.ca/pharmacare/pins/methpins.htmlhttp://www.health.gov.bc.ca/pharmacare/pins/methpins.htmlhttp://www.health.gov.bc.ca/pharmacare/pins/methpins.htmlhttp://www.health.gov.bc.ca/pharmacare/pins/methpins.htmlhttp://www.health.gov.bc.ca/pharmacare/pins/methpins.htmlhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pins/methpins.htmlhttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.doc


15/20


ifapplicable,awrittenrecordofanyrequestforacopyofapatientsBPMHand/orDTPforms iftheoriginalMRSorMRPCservicewasprovidedatanotherpharmacy,thepharmacyprovidingtheMRFservicemustobtainacopyofthePharmaCarerequireddocumentationforthepatients

mostrecentMRSorMRPC.

Ifinformationismissingfromthepreviouspharmacysdocumentation,thecurrentpharmacyshouldensurethatallinformationrequiredforthecurrentMRFisobtained,documentedand

retainedin

their

records.

ClaimsforPayment

Foreligiblepatients,thepharmacistcansubmitaclaimtoPharmaCarefora$15MRFfee. EitheranMRSoranMRPCmusthavebeenclaimedforthepatientwithinthepreviousyear. Amaximumof4MRFclaimscanbemadeinthe12monthperiodfollowingtheMRSorMRPC. Forinformationongeneralclaimlimits,seePoliciesApplicabletoAllMedicationReviewServices,4Claimingmedicationreviewservicesfees.

TheclaimmustbesubmittedonPharmaNetonthedateofthemedicationreviewservice.Thisensuresotherpharmaciesknowthatyouhavedeliveredtheservicetothepatientandmakesthe

clinicalinformationavailabletootherhealthcareprovidersinatimelyfashion.

SubmittheclaimusingtheappropriatePINandtheCollegeRegistrationIdentification(RegID)ofthepharmacistwhoprovidedtheservicetothepatient.


continuityofcareandsharingoftheBPMHand,ifapplicable,DTPForm(s)withinthecircleofcare.


Procedures

SubmittingClaims

ClaimsformedicationreviewservicesmustbesubmittedonPharmaNetonthedateofthemedicationreview,usingtheappropriatePIN,asshownbelow.

ThePINandthepaymentamountforeachserviceareasfollows:PIN Description PaymentAmount

99000501

MedicationReview

Standard

(MR

S)

$60.00

99000502 MedicationReviewPharmacistConsultation(MRPC) $70.00

99000503 MedicationReviewFollowUp(MRF) $15.00


16/20


Tosubmitaclaimforamedicationreviewservice:1. IntheDaysSupplyfield,enter1

2. IntheQuantityfield,enter1.

3. IntheDrugCostfield,enter0.

EnteringzerointheDrugCostfieldensuresthefeedoesnotinadvertentlyappearonthe

patientsreceipt.

4. IntheDIN/PINfield,entertheappropriatePIN.

5. IntheSIGfield,inthefirst20spacesinthefieldandinfrontofanyotherinformationthat

appearsinthefield,enterthe10digitphonenumber(includingareacode)ofthepharmacy

wheretheservicetookplace.Otherhealthcareprofessionalswillusethisnumbertocontactyou

torequestpatientinformation.

Ifthepharmacyphonenumberisnotenteredinthefirst20charactersoftheSIGfield,theclaim

willnotbereimbursed.

6.In

the

Prescriber

ID

field,

enter

the

College

Registration

Identification

(Reg

ID)

of

the

pharmacist

whoprovidedtheservicetothepatient.

Consultyoursoftwarevendortodetermineanyotherrequirementsforpaymentreconciliation.

PharmaNetResponseCodeforMedicationReviewServiceClaims

Claimsformedicationreviewservicesareprocessedforpaymentinmonthlybatchesratherthaninrealtime.Whenaclaimforamedicationreviewserviceissubmitted,PharmaNetreturnsoneof

severalrejectionresponses(e.g.,CD patientnotentitledtodrugclaimed).Theseadjudication

messagesfromPharmaNetcanbeignored.

Donotreverseorresubmitclaimsinresponsetoadjudicationmessages.Ifthedatahasbeenenteredcorrectlyintherequestedfields,theclaimswillbeprocessedforpayment.

ReconcilingPayments

PleasecallthePharmaNetHelpDeskaboutspecificclaims.ThePharmaNetHelpDeskhasaccesstopaymentandclaimdetailsandcanemailthesedetails(withpatientidentifiersremoved).

Audit

AllclaimstoPharmaCarearesubjecttoauditandanyamountassociatedwithadisallowedclaimwillberecovered.

>>For

information

on

PharmaCare

audit

policies,

see

the

PharmaCare

Policy

Manual,

Section

10

Audit.
http://www.health.gov.bc.ca/pharmacare/pdf/11contacts.pdf/http://www.health.gov.bc.ca/pharmacare/pdf/11contacts.pdf/http://www.health.gov.bc.ca/pharmacare/pdf/11contacts.pdf/http://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/10audit.pdfhttp://www.health.gov.bc.ca/pharmacare/pdf/11contacts.pdf/


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MedicationReviewServicesForms

BestPossibleMedicationHistory(BPMH)

Purpose ThepurposeoftheBestPossibleMedicationHistory(BPMH)isto createarecordthataneligibleserviceepisodeoccurred,and providepatients,caregivers,andotherhealthcareprofessionalswithaccurate,complete,andcurrentinformationaboutapatientsmedications.

TheBPMHincludestwosections:thePatientsectionandtheHealthCareProfessionalssection.

ThePatientsectionoftheBPMHisacomprehensivelistofallprescriptionmedications,nonprescriptionmedications,andnaturalhealthproductsthepatientiscurrentlytaking

onaregularorasneededbasis.

Thissectionoftheformisprovidedtothepatientaftertheirmedicationreviewiscompleted.

TheHealthCareProfessionalssectionoftheBPMHprovidesaprofessionalsummaryofinformationcollectedduringthereviewsuitableforsharingwithotherhealthcare

professionals.

Itactsastherecordofcareprovided(i.e.,recordofthepatientscurrentanddiscontinued

medications,

along

with

changes,

decisions,

and

recommendations

made

bythepharmacist).

Thissectionoftheformisnotintendedforthepatient.Thissectionmayincludeinformationsuitableonlyforclinicians.Keepitonfileavailabletosharewithother

healthcareprofessionalsuponrequest.

Whento

completeform

ForeveryMRSorMRPCappointmentforwhichaclaimwillbesubmittedtoPharmaCare,completeanewBPMHPatientsectionandanewBPMH HealthCare

Professionalssection

ForeveryMRFappointmentforwhichaclaimwillbesubmittedtoPharmaCare,completeanewBPMHPatientsectionandaneworupdatedBPMH HealthCare

Professionalssection.

Formcontents

Allcontent(i.e.,text,fields,andfieldlabels)includedintheBestPossibleMedicationHistorytemplateismandatoryandmustbeincludedinanypharmacycreatedforms.SeeIfyouarecreatingyourownform(s).
http://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmh.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmh.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmh.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmh.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.doc


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Noteson

completingthe

form

Allfieldsonallpagesmustbecompletedunlessotherwiseindicated.SeetheBPMHtemplatefortheformfields.

ISITLEGIBLE?TheintentoftheBPMHPatientSectionistogivethepatient(ortheir

familyorcaregiver)aclear,writtenrecordofyourdiscussion.

Tomakesureyourdirectionsandcommentsareeasyforthepatienttoread,usethe

tipsbelow.

TIPSFOR

CLARITY:

Makesuretheinformationonthehandwrittenorprintedformislargeenoughforthosewithvisionproblems.

Printratherthanwrite.Usesimplelanguage: DonotuseLatinorotherabbreviationsnotcommonlyusedbypatients Refertoconditionsorsymptomsusingthesamewordsthepatientusesduringtheirappointment

EnsurethatthepatientortheirlegalrepresentativesignsanddatesthePatientAcknowledgementsectionoftheBPMH.

On

every

page

of

the

form,

include

the:

servicedeliverydate nameandRegIDofthepharmacistwhoprovidedtheservice:

iftheservicewasdeliveredbyapharmacystudentorintern,providethenameofthepharmacistwhosupervisedthesession

iftheappointmentisafollowupandtheserviceisdeliveredbyadifferentpharmacist,addthepharmacistnameandRegIDaftertheoriginalpharmacistsID

contactinformationforthepharmacy patientsname,PHN,anddateofbirth

Optionalfieldsincludespecialinstructions.Completeifapplicable.Complete

all

fields

related

to

clinically

relevant

medications

that

have

been

stopped,

if

theinformationisavailable.

Ifthepatientistakingmorethaneightmedications,addadditionalrowstotheMedicationsITakeandCurrentMedicationssectionsasnecessary,orcomplete

additionalforms.
http://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.doc


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DrugTherapyProblemform(DTPform)

Purpose TheDrugTherapyProblemformisarecordofallinformationassociatedwiththeidentification,resolution,followupcare,andcommunicationforaDTPidentifiedduring

aMedicationReviewPharmacistConsultationserviceappointment.

Thisformmaybesharedwithhealthcareprofessionalswithinthepatientscircleofcareatthepharmacistsdiscretion.

Whentocomplete

form

AformmustbecompletedwheneveraDTPhasbeenidentifiedandresolved.AseparateformmustbecompletedforeachDTP.ForeveryMRPCappointmentforwhichaclaimwillbesubmittedtoPharmaCare,completeaDTPforminadditiontotheBPMHPatientsectionandBPMHHealthCare

Professionalssection.

Ifapplicable,foreveryMRFappointment,whenimplementingand/orevaluatingprogresstowardsresolvingthepatientsDTP,forwhichaclaimwillbesubmittedto

PharmaCare,updateeachpreviousDTPformwithnewinformation(orgenerateanew

oneforeachDTP)inadditiontocompletinganewBPMHPatientsectionandanewor

updatedBPMHHealthCareProfessionalssection.

Formcontents Pharmacistsmaydesigntheirownversionoftheform;seeIfyouarecreatingyourownform(s)forrequirements.

Allcontent(i.e.,text,fieldsandfieldlabels)includedintheDrugTherapyProblemformtemplateismandatoryandmustbeincludedinanypharmacycreatedforms.SeeIfyou

arecreatingyourownform(s).

Noteson

completingthe

form

Allfieldsonallpagesmustbecompletedunlessindicatedotherwise;seetheDTPformtemplatefortheformfields.

Ifaformisillegible,theassociatedclaimwillbesubjecttorecovery.Oneverypageoftheform,includethe: servicedeliverydateifupdatinganexistingformduringafollowupappointment,addthenewservicedeliverydateaftertheinitialservicedate.

nameandRegIDofthepharmacistwhoprovidedtheservice:if

the

service

was

delivered

by

a

pharmacy

student

or

intern,

provide

the

name

of

thepharmacistwhosupervisedthesession

iftheappointmentisafollowupandtheserviceisdeliveredbyadifferentpharmacist,addthepharmacistsname,andRegIDaftertheinitialpharmacistsID

contactinformationforthepharmacy patientsname,PHN,anddateofbirth

Optionalfieldsincludenotification.Completeifapplicable.
http://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.doc


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BestPossibleMedicationHistoryWorksheet(BPMHWorksheet)

Purpose TheBestPossibleMedicationHistoryWorksheetisanoptionalformthatpharmacistscanusetogather,record,andreviewthepatientsmedicationinformationbeforethe

medicationreviewappointment.

TheWorksheetcomplieswithallrequirementsforpharmacyprintingofthePharmaNetMedicationReconciliationReport.

Whentocomplete

form

Thisformmaybeusedasastartingpointforgatheringinformationbeforeamedicationreview

service

appointment.

Useofthisformisoptional.Formcontents ThecontentsofthisformarefoundintheBestPossibleMedicationHistoryWorksheet

template.

Pharmacistsmaydesigntheirownversionoftheform;seeIfyouarecreatingyourownform(s)forrequirements.

Noteson

completingthe

form

N/A

Ifyou

are

creating

your

own

form(s)

PharmaCareprovidesformtemplatesthatcontaintheminimumdocumentationrequirementsforclaimingafeeforamedicationreviewservicefromPharmaCare.

Anypharmacythatchoosestocreatetheirownversionsofthemedicationreviewservicesformsmustensurethattheseminimumrequirementsaremet;thatis,eachformmustcontainallthetext

andfieldsinthePharmaCaretemplates.

Thewordingofthetextandfieldlabelsmustnotbechanged. Claimsformedicationreviewserviceswillbereimbursedonlywhentheformscontainallrequiredtext,fields,andfieldlabels.Whentheformsdonotmeettheseminimumrequirements,claimswill

besubjecttorecovery.

Tools&Resources

FormTemplates

BestPossibleMedicationHistory(BPMH)Worksheet BestPossibleMedicationHistory(BPMH) DrugTherapyProblemform(DTPform)
http://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/DTP.dochttp://www.health.gov.bc.ca/pharmacare/pdf/BPMH.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.dochttp://www.health.gov.bc.ca/pharmacare/pdf/bpmhworksheet.doc