The following information is required on prescription receipts provided to New Brunswick Drug Plan members:
- Name and address of the participating provider
- Member name and address
- Date the drug was dispensed
- Prescription number and the number of refills remaining
- Name of the prescriber
- Drug name, strength, form, DIN or PIN
- Quantity of the drug
- Day supply of the drug (Effective November 1, 2014)
- Co-payment amount
- Total cost of the prescription
- Drug cost* (Effective November 1, 2014)
- Dispensing fee (Effective November 1, 2014)
* Drug cost is equal to the total prescription cost less the dispensing fee.
If a member chooses to pay for a prescription and submit the receipt for reimbursement (instead of the pharmacy submitting the claim on their behalf) the following additional information must be provided to the member, either on the prescription receipt or separately:
- Participating provider identification number
- Prescriber license or registration number
- Intervention or exception code