Government of New Brunswick

Avian Flu Drug Therapy

The Department of Health will be offering oseltamivir (Tamiflu and generic brands) at no cost to New Brunswick residents who have been diagnosed with or exposed to Avian Flu (Influenza Type A). Treatment for Avian Flu must be recommended by a Medical Officer of Health (MOH).

Oseltamivir will not be covered for seasonal strains of influenza Type A.
 

Eligibility

 
Patients are eligible to receive Avian Flu drug therapies at no cost if they meet the requirements outlined below.

In addition to a valid prescription, the prescriber must document on the prescription that the medication is for the treatment of Avian Flu. The prescriber will consult with the regional Medical Officer of Health to determine if the cause of the illness is believed to be due to Avian Flu.

Pharmacists must ensure that each prescription submitted for coverage under the Avian Flu Drug Therapies program has documentation from the prescriber that confirms the medication is for the treatment of Avian Flu.
 

Eligible Drug Therapies

 
Patients are eligible to receive oseltamivir for the treatment or prevention of Avian Flu. Please refer to the New Brunswick Drug Plans Formulary for a complete list of available oseltamivir products.

The liquid formulation will be considered for coverage when oral capsules are not an option. A special authorization request must be submitted.
 

Claim Submission

 
Manual claims will not be accepted. Claims must be submitted online and include the following information:

Field Information Required

Carrier ID

NB

Group Number or Code

I (Note: this also applies to New Brunswick Drug Plans beneficiaries.)

Client ID

Patient’s NB Medicare number.  (Note: this also applies to New Brunswick Drug Plans beneficiaries.)

For individuals from out of province, temporarily residing in New Brunswick and who have not been issued an NB Medicare number, enter “999999999” in place of the Medicare number.

Note: If there is a requirement for a pharmacy to submit more than one claim on the same day for the same DIN under this pseudo Medicare number, subsequent claims must be submitted with Intervention Code “MG”.

Patient Code

Leave Blank

Patient Name

Patient’s first and last name

Patient DOB

Patient’s date of birth

Prescriber ID

Prescriber’s license or registration number (see NB Drug Plans Claim Submissions webpage).

Prescriber ID Reference Code

Code identifying a prescriber’s licensing body (see NB Drug Plans Claim Submissions webpage).

DIN / PIN

Please refer to the New Brunswick Drug Plans Formulary for a complete list of available oseltamivir products.

Quantity

Quantity dispensed

Days Supply

Number of days’ dispensed (see NB Drug Plans Claim Submissions webpage).

Drug Cost / Product Value

Please refer to Dispensing Fees and Drug Cost Reimbursement

Cost Upcharge

Please refer to Dispensing Fees and Drug Cost Reimbursement

Professional Fee

$11.00

Intervention and Exception Code

MJ

Claim Submission

 
All claims submitted for reimbursement by participating providers are subject to audit and recovery.
 

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