Ever been surprised by the cost of a prescription or confused about what’s covered? You’re not alone. Alberta’s drug coverage system can be overwhelming, but once you understand how it works, you can save money and stress. This guide breaks it down simply.
What is the Alberta Drug Benefit List?
The Alberta Drug Benefit List (DBL) is a list of prescription drugs covered under several provincial health plans, including those for seniors, AISH (Assured Income for the Severely Handicapped), and low-income families.
It’s managed by Alberta Blue Cross, who act on behalf of the government to process claims and reimbursements.
Think of the DBL as your go-to reference for medications that are paid for, either fully or partially, by the province.
How Drug Coverage Works
Not every drug on the pharmacy shelf is automatically covered. Some are fully covered, others need special approval, and some aren’t covered at all unless specific conditions are met.
Here are the main categories:
- Regular benefits: No extra approval needed—just get your prescription filled.
- Special authorization drugs: These require your doctor to send in a request explaining why you need that specific medication.
- Optional benefits: These are only covered under certain circumstances or for specific conditions.
If your prescription falls into the second or third category, your doctor or pharmacist can help with the paperwork.
How to Look Up Covered Drugs
The Alberta Blue Cross website has a searchable drug list. You can type in the name of your medication to see if it’s covered and under what conditions.
Questions? Visit our member site or app to find answers to your questions whenever possible. Stayed tuned for more details on what you can access online and situations where you’ll need to contact our Customer Services team. pic.twitter.com/WkAupw2NMC
— Alberta Blue Cross (@ABBlueCross) November 27, 2020
It’s a good idea to check the list before filling a new prescription. If your medication isn’t fully covered, your doctor might be able to suggest a similar one that is.
Tips to Keep Your Medication Costs Down
Even with coverage, you might still have to pay a portion out of pocket. But sticking with drugs on the DBL can reduce your costs significantly.
Here’s how to manage your expenses:
- Ask for generics. They work the same and usually cost less.
- Talk to your pharmacist. They know which alternatives are covered and can help you switch if needed.
- Double-check during life changes. Turning 65, going on AISH, or changing income can affect your coverage.
Where to Get Help and Information
Not sure which plan you’re on or what you qualify for? Alberta’s Ministry of Seniors, Community and Social Services can help. They support:
- Non-Group Coverage
- Seniors’ Drug Coverage
- AISH Drug Coverage
Call or visit Alberta.ca to get information on applying for benefits, finding covered drugs, or dealing with issues with your claims.
Bottom Line
Prescription coverage doesn’t have to be complicated. Now you know what’s on the Drug Benefit List and what to ask. Make the most of your Alberta Blue Cross benefits and save while you stay healthy.
