Government of New Brunswick


Claims submitted by community pharmacies must include the following information:

Field Information Required
Carrier Code NB
Group Number or Code J (Note: this also applies to New Brunswick Drug Plans beneficiaries.)
Patient ID Patient’s NB Medicare number. (Note: this also applies to New Brunswick Drug Plans beneficiaries.)
Patient Code
Leave blank
Patient Name
Patient's first and last name
Patient Date of Birth
Patient's date of birth
Prescriber ID Prescriber’s license or registration number (see below)
Prescriber ID Reference Code Code identifying a prescriber’s licensing body (see below)
Drug See eligible benefits below.
Drug Cost up to the Manufacturer List Price (MLP)
Mark-up
up to 8%
Dispensing Fee up to $11.00

Drug

DIN

Unit of Measure

Mifepristone/ misoprostol (Mifegymiso®)

200mg/200mcg tablet

02444038

Kit

Misoprostol 200mcg tablets*

See MAP List for products

Tablet

Misoprostol tablets will be reimbursed in the following instances:

  • As a second dose if an incomplete abortion is confirmed on follow-up assessment
  • As a replacement dose if misoprostol from the Mifegymiso kit is lost, stolen or damaged
     –  For replacement doses, pharmacies must submit claims online using CPhA Intervention
         Code MR – replacement, item lost or broken.

Prescription claims submitted to the Medical Abortion Program must include the prescriber’s license or registration number, as well as the corresponding Prescriber ID Reference Code which identifies the prescriber’s licensing body.

A prescriber’s license or registration number can be obtained by:

A default ID can only be used when:

  • A New Brunswick prescriber’s license or registration number is unknown. Repeated use of default IDs in cases where a Prescriber ID exists will be subject to audit.
  • The prescriber is from out-of-province.
The information required to identify the prescriber is available on the NB Drug Plans Claim Submission page.
 

For questions on claim submissions, please contact 1-800-332-3691.