u/I_am_banana_123

PHSCP - where can we find the amount eligible for a particular drug?

My first shingles vaccine was $195 at the doctor, was reimbursed $156.

Second one was $210 at the doctor, was only reimbursed $149.36 because it says the maximum eligible is $186.70.

Seems weird, same DIN both times: 02468425. Is there somewhere that I can see the amount eligible? When I do a drug search, it says it is covered at 80%, but nothing about the maximum eligible.

EDITED TO ADD:

*** UPDATE FROM CANADA LIFE: There is no way to view the reasonable and customary amounts of prescription drugs online.  Your pharmacy would be able to provide you with that information. 

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u/I_am_banana_123 — 8 days ago