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This is a reminder that mandatory generic drug substitution is in effect for all drug prescriptions under the Public Service Health Care Plan (PSHCP) as part of the negotiated plan design changes by the PSHCP Partners Committee, comprised of Employer, Bargaining Agents and pensioner representatives. This means that members and their eligible dependants will be reimbursed at 80% for the cost of the lowest-cost generic drug equivalent, where one exists. 

More details about the benefit improvements and changes to the PSHCP can be found here: 

Note: For those with existing prescriptions before July 1, 2023, brand name drugs will be reimbursed at 80% of their cost until December 31, 2023. Starting January 1, 2024, if an approved exception is not on file, members will be reimbursed at 80% of the lowest-cost generic drug equivalent.

PSHCP members who had existing prescriptions for brand name drugs before July 1, 2023, should have received a letter from us in mid-November 2023 detailing your options before December 31, 2023. If you did not receive a letter and are using a brand name drug, here are options to consider:

  1. Take the lowest-cost alternative generic drug and in most cases, you will pay less.
  2. Ask for the brand name drug and pay the difference between the cost of the generic drug and the brand name drug.
  3. Discuss the issue with a medical professional, and if they believe that the brand name drug is required rather than the generic equivalent, your attending physician or nurse practitioner can fill out a PSHCP Request for Brand Name Coverage form, and if approved, the PSHCP will pay the applicable cost of the new brand name drug. You can find this on the Forms page. Alternately, you can contact Canada Life at 1-855-415-4414 to request the form be sent by mail.

Some brand name drugs have savings cards to help you stay on their prescription drug(s). Check with your pharmacist or attending physician or nurse practitioner to see if a savings card is available for your prescription.