Home Business & Economy Pharmaceuticals BC Pharmacare expands coverage for autoimmune conditions

BC Pharmacare expands coverage for autoimmune conditions

All B.C. residents can register for the Fair PharmaCare plan. The plan is based on income.

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Autoimmune Diseases
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Monday November 6, 2023 | VICTORIA, BC

by Mary P Brooke, B.Sc. | Island Social Trends | HEALTH SECTION


People living with certain moderate to severe autoimmune conditions in B.C. now have access to more treatment options.

BC PharmaCare has added one medication to the PharmaCare formulary and expanded coverage of one available medication.

autoimmune, diseases
There are several autoimmune diseases.

Neuromyelitis optica spectrum disorder (NMOSD) is a rare inflammatory disease of the central nervous system, which can result in relapses that may be severe and unpredictable. Relapses may cause damage to the optic nerves and/or spinal cord, and result in symptoms such as blurred or complete loss of vision, pain, weakness and paralysis in the legs.

  • Rituximab biosimilars (Truxima, Riximyo and Ruxience) are already PharmaCare limited-coverage benefits for the treatment of severely active rheumatoid arthritis, the induction of remission in severely active granulomatosis and relapsing remitting multiple sclerosis.
  • As of Nov. 1, 2023, rituximab will be considered for patients with certain moderate to severe autoimmune disorders, such as NMOSD. The pharmaceutical drug is expected to benefit as many as 400 people.

BC PharmaCare also added satralizumab (Enspryng), a medication used to treat NMOSD, to the PharmaCare formulary as a limited-coverage benefit on Nov. 1, 2023. Approximately 10 people are expected to benefit from access to satralizumab.

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These changes ensure coverage is aligned with clinical evidence and improve patient access to appropriate medications for those living with these conditions.

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Autoimmune disease:

A healthy immune system defends the body against disease and infection. But if the immune system malfunctions, it mistakenly attacks healthy cells, tissues, and organs. Called autoimmune disease, these attacks can affect any part of the body, weakening bodily function and even turning life-threatening.

Common autoimmune disorders include:

  • Addison disease.
  • Celiac disease – sprue (gluten-sensitive enteropathy)
  • Dermatomyositis.
  • Graves disease.
  • Hashimoto thyroiditis.
  • Inflammatory bowel disease (Crohn disease, ulcerative colitis)
  • Multiple sclerosis.
  • Myasthenia gravis.

BC Pharmacare:

BC Pharmacare helps people pay for medications and medical supplies.

All B.C. residents can register for the Fair PharmaCare plan. The plan is based on income. The less a family earns, the more help they get. There are 12 BC Pharmacare Plans including specialized ones like long-term care, multiple sclerosis, quitting smoking, and children with severe disabilities or complex needs.

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BC PharmaCare | New drug listings