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Direct billing on paper invoices
Electronic billing through Pharmacy Benefits Management
Program
Paper invoices must include:
One invoice must be submitted for each worker. If an injured worker has
more than one claim number, a separate invoice must be submitted for each
claim number.
Send invoices to:
WorkSafeBC
Payment Services Department
PO Box 94460 Station Main
Richmond, BC V6X 8V6
If you have questions regarding billing or payment, contact the WorkSafeBC Payment Services Department at 604 276-3085 or toll-free at 1 888 422-2228.
The Pharmacy Benefits Management (PBM) Program is administered by Emergis
(Assure Health). Injured workers who are eligible for the program are
issued a Pharmacy Benefit Card. The card will only cover medications related
to the claim number listed on the card. The card will not cover medications
related to other WorkSafeBC claims.
WorkSafeBC will pay 100% of the cost of the drug and the professional fee. WorkSafeBC follows policies and practices set out by Pharmacare with regard to days-supply and drug pricing.
Our policies and practices are as follows:
As WorkSafeBC is the primary payer of injury-related medications, prescriptions must be sent to Pharmacare with the DE intervention code so that the DUR process can take place without adjudication. The prescriptions, with the DE intervention code, can be then sent to Emergis for adjudication.
For more information on how to process prescriptions through the Pharmacy Benefit Card, please refer to your Emergis Pharmacy Policy and Procedures Manual.
For information on how to enter the DE intervention code or overriding for brand name drugs, please contact your software vendor.