Pharmacy Providers
Pharmacy Forms
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Acquisition Cost Request
Pharmacy providers only should use this form to request "cost-to-operator " adjustments in the event that reimbursement on a given claim was less than your actual acquisition cost for the item claimed.
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Adjustment
Pharmacy providers only should use this form to correct any incorrect or unknown information on the initially submitted claim (eg. to correct an incorrect DIN, correct a package size, quantity, or days supply,etc.).
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Claim Reversal Request
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Drug Authorization Forms
A Drug Special Authorization form is required when a pharmacy receives a denial for an electronic drug claim that requires prior authorization.
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Fill Limits Exception Request Form
Request for coverage of additional dispensing fees associated with exceptions to the maintenance medication dispensing frequency policy (3 months supply) and/or use of compliance packaging.
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Pharmacy Claim Submission Form
Pharmacy providers may use this form to submit a manual claim in the event that the claim cannot be processed electronically. This form can be used for regular or compound claims.
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Request for Approval of Brand Name Drug
Cognitive Services
To verify the cognitive services that are a benefit of your patient’s drug plan, click here.
The goal of GSC’s Value-based Pharmacy initiative is to drive up the quality of care across Canada. By measuring pharmacy performance, providing feedback to facilitate improvement, and aligning reimbursement to the delivery of high-quality care, we help pharmacies gain insight into areas of patient care where they’re already doing well and areas where they can improve. For more information on quality-of-care measurement, our partners, and how the Pharmacy Quality Rating may impact pharmacy reimbursement, just select the links below.
Claims Payment Schedules
For your convenience, we have made our Claim Payment Schedules for each line of business available online. This will help you determine what claim details are included in each payment. To view these schedules, choose from the following:
Current Year
Prior Year
Update Newsletters
Green Shield Canada's Update newsletters give you the latest information on trends in the industry and Green Shield Canada news. Please choose from the list below (available in PDF format):
Pharmacy Update, National, 2024 12
Pharmacy Update, Quebec, 2024 12
Pharmacy Update, National, 2024 09
Pharmacy Update, National, 2024 06
Pharmacy Update, BC, 2024 02
Pharmacy Update, National, 2024 02
Pharmacy Update, QC, 2024 02
Pharmacy Update, National, 2023 12
Pharmacy Update, ON, 2023 12
Pharmacy Update, QC, 2023 12
Pharmacy Update, National, 2023 06
Pharmacy Update, ON, 2023 06
Pharmacy Update, SK, 2023 06
Pharmacy Update, National, 2022 12
Pharmacy Update, National, 2022 08
Pharmacy Update, AB, 2022 06
Pharmacy Update, National, 2022 04
Pharmacy Update, National, 2022 01
Pharmacy Update, BC, 2021 11
Pharmacy Update, NB & NS, 2021 11
Pharmacy Update, National, 2021 11
Pharmacy Update, Atlantic, 2021 06
Pharmacy Update, National, 2021 06
Pharmacy Update, ARTA, 2021 04
Pharmacy Update, SK, 2021 04
Pharmacy Update, AB, 2021 03
Pharmacy Update, BC, 2021 03
Pharmacy Update, National, 2021 03
Pharmacy Update, National, 2021 01
Pharmacy Update, QC, 2021 01
Pharmacy Update, ARTA, 2020 12
Pharmacy Update, National, 2020 11
Pharmacy Update, QC, 2020 11
Pharmacy Update, National, 2020 06
Pharmacy Update, National, 2020 05
Pharmacy Update, National, 2020 03
Pharmacy Publications Archive
Claims Payment Schedules
To view these schedules, please refer to the GSC tab.
Pharmacy Manuals
Select a document below to view (in PDF) or print a copy:
Frequently Used PINs for Billing Purposes
For more detailed inquiries about drug eligibility, criteria, other CCQ policies, etc., please contact our Customer Service Centre.
Pharmacy Forms
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Drug Authorization Forms
A Drug Special Authorization form is required when a pharmacy receives a denial for an electronic drug claim that requires prior authorization.
Pharmacy Forms
-
Drug Authorization Forms
A Drug Special Authorization form is required when a pharmacy receives a denial for an electronic drug claim that requires prior authorization.
Pharmacy Forms
-
Acquisition Cost Request Form
Pharmacy providers only should use this form to request "cost-to-operator " adjustments in the event that reimbursement on a given claim was less than your actual acquisition cost for the item claimed.
-
Claim Reversal Request
-
Pharmacy Adjustment Form
Pharmacy providers only should use this form to correct any incorrect or unknown information on the initially submitted claim (eg. to correct an incorrect DIN, correct a package size, quantity, or days supply,etc.).
-
Pharmacy Claim Submission Form
Pharmacy providers may use this form to submit a manual claim in the event that the claim cannot be processed electronically. This form can be used for regular or compound claims.
Update Newsletters
SSQ Insurance’s Update newsletters give you the latest information on trends in the industry and SSQ Insurance news. Please choose from the list below (available in PDF format):
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