
Earlier this year, BC and the federal government launched Plan NP, committing up to $670 million over three years to expand access to diabetes medications, devices, and supplies for BC residents. The first phase, which began March 1, 2026, introduced full coverage for many commonly used diabetes medications, including insulin and metformin. The second phase, effective April 1, expanded coverage to include additional diabetes devices and supplies, including broader provincial coverage for insulin pump systems and newer automated insulin delivery technologies.
For details on the March 1 medication coverage update, read our earlier article: BC PharmaCare's Plan NP: diabetes medication coverage starting March 2026.
BC PharmaCare covers three insulin pump systems for eligible residents. Each is available through a starter kit:
Infusion sets, pods, and reservoirs for all covered pump systems are also covered as supplies and do not require separate Special Authority approval.
Coverage is available to BC residents who meet all of the following criteria: they have type 1 diabetes or another form of diabetes requiring insulin, they are covered under Fair PharmaCare, Plan B (Long-Term Care), Plan C (Income Assistance), Plan F (At Home Program), or Plan W (First Nations Health Benefits), and they have Special Authority approval from an endocrinologist or diabetes specialist confirming they meet the medical criteria.
Speak with your endocrinologist or diabetes specialist. If you meet the criteria, your specialist will submit a Special Authority request to PharmaCare on your behalf. If approved, PharmaCare will send an approval letter to your specialist's office, who will pass it along to you. You will need this letter when purchasing your pump from the manufacturer.
It is important to note that PharmaCare does not provide retroactive coverage. Residents are encouraged to wait for written approval before purchasing a pump.
Insulin pump supplies must be purchased from a pharmacy that specializes in diabetes devices and can direct bill BC PharmaCare, like Endor Health. Claims are submitted through PharmaNet and paper or manual claims are not accepted.
For the full details on BC insulin pump coverage, including eligible supply items and Special Authority criteria, visit the BC PharmaCare insulin pumps and supplies page.
