P.E.I. Pharmacare Formulary 
                                 
         
         
        PEI Pharmacare Formulary …………………………………………………Page  - 1 - 
                                                                         
                   Inquiries should be directed to: 
                    
                   PEI Pharmacare 
                   Health PEI 
                   P.O. Box 2000, 20 Fitzroy St. 
                   Charlottetown, PEI 
                   C1A 7N8 
                  
                  
                    
                   Telephone inquiries should be directed to: 
                                                                          
                   Client Eligibility                                    1-902-368-4947 Charlottetown 
                   Prescriber Eligibility                                1-877-577-3737 Toll Free in PEI 
                   Medication Eligibility                                1-902-368-4905 Fax 
                   Pharmacy Eligibility 
                   Pharmacist Eligibility 
                   Claim Inquiries 
                   Special Authorization Drug Status 
                   Formulary Inquiries 
                                                                          
                   Pharmacy Information Program (PhIP)                   628-3772 Charlottetown 
                   Inquiries and Technical Support Help Desk             1-877-201-6771 Toll Free in PEI 
                                                                          
                                                                         7:00 am to 12:00 midnight 
                                                                         7 days per week 
                                                                          
                   PEI Insulin Pump Program                              1-902-213-4825  Phone  
                   Diabetes Glucose Sensor Program                       1-833-335-0538 Toll Free in PEI 
                   Montague Health Center                                diabetesadminofficer@ihis.org  Email 
                   407 MacIntyre Avenue                                   
                   Montague, PE  C0A 1R0                                  
                                                                          
                  
                  
                  
                  
                  
                  
                  
                  
                  
                 Statements within this document are not intended to override or modify the provisions within an 
                 enactment or Minister authority. 
                  
                 Published by the authority of the Minister of Health and Wellness, Province of Prince Edward 
                 Island for the exclusive use of PEI Pharmacare 
                  
                 Updated:  December 2022 
                  
                  
                 PEI Pharmacare Formulary …………………………………………………Page  - 2 - 
               
               
              THE FORMULARY 
              The Prince Edward Island Pharmacare Formulary is a listing of therapeutically effective 
              medications approved for coverage through the following programs: 
               
                    HIV Drug Program                         High Cost Drug Program 
                    Catastrophic Drug Program                Institutional Pharmacy Program 
                    Community Mental Health Drug Program     Nursing Home Drug Program 
                    Children in Care Program                 Nutrition Services Program 
                    Cystic Fibrosis Drug Program             Substance Use Harm Reduction Drug 
                    Diabetes Drug Program                    Program 
                    Erythropoietin Program                   Phenylketonuria (PKU) Program 
                    Family Health Benefit Drug Program       Smoking Cessation Drug Program 
                    Financial Assistance Drug Program        Seniors Drug Program 
                    Generic Drug Program                     Sexually Transmitted Diseases Program 
                    Growth Hormone Drug Program              Transplant Drug Program 
                    Hepatitis Drug Program                   Tuberculosis Drug Program 
                                                              
              It is compiled on behalf of the Minister of Health and Wellness based upon recommendations 
              from either the Atlantic or Canadian Expert Drug Advisory Committees, or the Joint Oncology 
              Drug Review Committee. 
               
              Medications in the Formulary are listed by Therapeutic Categories developed by the American 
              Society of Hospital Pharmacists. 
               
              The PEI Pharmacare Formulary is not to be used to determine interchangeability of therapeutic 
              products.   
               
              The PEI Pharmacare Formulary may be downloaded from the Health PEI website at – 
              www.healthpei.ca/formulary  
               
               
               
              PEI Pharmacare Formulary …………………………………………………Page  - 3 - 
                 
                 
                PRINCE EDWARD ISLAND DRUG PROGRAMS 
                                                                                              
                 Program                   Beneficiaries            Benefits                 Fee 
                 (Formulary Code)                                   (Note: A prescription is 
                                                                    required for all benefits 
                                                                    unless otherwise 
                                                                    indicated.) 
                 Programs Delivered Through Community Retail Pharmacies 
                                                                                              
                 Children-In-Care          Persons in temporary  All prescription            No fee. 
                 Program                   or permanent             medications.              
                 (W)                       custody of the           Non-prescription          
                                           Director of Child        medications 
                                           Welfare                  approved under the 
                                                                    Financial Assistance 
                                                                    Program 
                 Generic Drug              Persons less than 65                              Maximum of $19.95 
                 Program (G)               years of age with no     Approved generic         per prescription. 
                                           private drug             prescription 
                                           insurance                medications.  
                                                                                              
                 Diabetes Drug             Persons eligible for     Approved insulin         $10.00 per 10 mL vial 
                 Program                   PEI Medicare,            products                 of insulin. 
                 (D)                       diagnosed with                                    $20.00 per box of 
                                           diabetes, and                                     insulin cartridges. 
                                           registered with the                                
                                           program.                 Approved oral            $11.00 per 
                                                                    diabetes                 prescription 
                                                                    medications 
                                                                                              
                                                                    Approved urine           $11.00 per 
                                                                    testing materials        prescription 
                                                                    (Diastix and Ketostix 
                                                                    – no prescription 
                                                                    required) 
                                                                    Blood Glucose test       $11.00 per dispense. 
                                                                    strips. Patients must    Maximum of 100 
                                                                    have used insulin        strips per 25 days. 
                                                                    within 150 days (no       
                                                                    prescription 
                                                                    required).   
                                                                     
                                                                                              
                                                                    Approved glucagon        $20.00 per unit 
                                                                    devices. Patients 
                                                                    must have used 
                                                                    insulin within 150 
                                                                    days (no 
                                                                    prescription required 
                                                                    for up to 2 units in 
                 
                 
                PEI Pharmacare Formulary …………………………………………………Page  - 4 -