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At a glance

Dispensing fee · <84 days$12.35was $12.15 · Benefact 1335

Dispensing fee · 84+ days$13.50was $12.15 · Benefact 1335

Clinical services cap$13,000per pharmacist · rolling 28 days

MML & daily forms dueOct 31audits from Nov 1 · Benefact 1342

What changed since Oct 8 from Benefacts 1346, 1347 and 1348

UPDATED OCT 17

New since Oct 8, from Benefacts 1346, 1347 and 1348. Tap one to see it.

Timeline of the 2026 changes

Jun 26
Clinical services cap in force Active$13,000 per pharmacist across all sites, rolling 28 days by date of service. Pharmacist ID must equal Prescriber ID (else code 76).
Oct 1
New dispensing fees Active$12.35 / $13.50 by days' supply. In-store compounds stay $18.45. The OTC and nutritional changes are postponed (Benefact 1342).
Oct 1
APA PINs retired Active00000081111 and 00000081119 reject. Every pharmacist uses 00000071111 / 00000071119 with the SSC. 00000081116 (SSC K) stays APA-only.
Oct 1
CACP / SMMA reporting ActiveOne ICD-9 plus a new PIN on every initial and follow-up claim. No patient wet signature needed; document consent.
Oct 1
Maintenance Medication List Active84–100 days expected once stable. Shorter fills need eligibility, a form, and an intervention code for MML products.
Oct 1
Topical NSAID compound cap Active$0.55 per gram for diclofenac or an NSAID as the only active ingredient: 00999102 / 00999202 / 00999105 / 00999205. With another active ingredient, bill 00999201 / 00999200, not capped (Benefacts 1341, 1347).
Oct 1
Bill 11 payor order ActivePrivate, employer, NIHB and VAC first. Coverage for Seniors and Non-Group billed last.
Now
Fall flu and COVID-19 in pharmacies ActivePharmacies that have vaccine may immunize eligible people now; Public Health starts Oct 19. Pharmacists immunize ages 5+ (Benefacts 1338, 1348).
Oct 31
Transitions endLast day to claim pre-Oct 1 compound stock under 00999202 / 00999205 without the cap, and to use the old SMMA PINs when a new CACP/SMMA PIN errors (Benefact 1347).
Oct 31
MML and daily dispensing forms due DeadlineComplete and keep the Frequent Dispensing and Daily Dispensing Authorization Forms where required. Audits enforce them from Nov 1.
Mar 31, 2029
Framework term endsMulti-year framework between the Government of Alberta and RxA.

9 rules people miss

Claims paid at $0 or partially paid because of the cap cannot be charged to the patient.
The cap counts by date of service, not submission date. A late claim for a capped period pays $0.
APA pharmacists now bill renewals and adaptations with 00000071111 too. 00000081111 rejects.
Days' supply is the whole treatment period: 21 active tablets plus a 7-day break is claimed as 28 days.
For MML drugs, 2–27 day fills pay at most 2 fees per 28 days per AFR; 28–83 day fills pay at most 1 fee per 28 days.
MML drugs are not eligible for a daily dispensing fee at all.
Tobacco care plans are submitted with ICD-9 305, not 305.1.
The $0.55/g cap covers diclofenac or an NSAID alone, or with lidocaine, menthol, camphor, capsaicin or phenol. Add another active ingredient (e.g. cyclobenzaprine) and it bills under 00999201 / 00999200, not capped.
Inhalers, eye and ear drops, injectables (except Depo-Provera), topicals and compounds need no MML form for fills under 84 days.

Billing Desk / Reference edition · October 2026. This is a practical guide, not an adjudication record. Confirm decisions against the linked Alberta Blue Cross sources.

Rolling 28-day cap tracker.

Log your clinical service claims from every site. The tracker shows how much of the $13,000 cap is left for the 28 days ending today.

Benefact 1321 · Pharmacist CAP FAQ

Room left today

$13,000

of $13,000

As of

Used 0% of cap used: $0; –
Next room back: –; as old claims age out
Unpaid in log (C5): $0; reduced by the cap

Add a claim

Example dataLoading your saved log…

Date	Site	Service	Billed	Paid	Status

Chart: daily billing and rolling total

Import from your vendor report

One claim per line: date,amount,site (site optional). Dates as YYYY-MM-DD.

How the cap works

The window is the date of service plus the previous 27 days. The maximum is $13,000.
The claim that crosses the line is paid partially. Later claims in a capped window pay $0 (code C5).
ABC adjudicates in the order claims are submitted, so a late, backdated claim into a capped window pays $0. The tracker does the same, in the order you enter claims.
At 90% ($11,700) ABC starts showing the "PHMT is at…" message.
Vaccine administration and state-of-emergency continuity assessments are excluded. They are logged but not counted.
ABC offers no cap dashboard, so pharmacists track it themselves.

Your log is saved in this browser only, on this device. Use anonymous site labels and enter no patient information. This estimates adjudication from what you enter; ABC's real-time adjudication is the record, and reversals return value to the window they belonged to.

Benefact 1333 · CACP and SMMA PIN FAQ, Appendix 2

CACP / SMMA PIN finder.

From October 1, every CACP, SMMA (including Diabetes), SMMA Tobacco and follow-up claim needs one ICD-9 code for the primary condition and one new PIN. APA and non-APA pharmacists use the same PINs. Eligibility hasn't changed, and no patient wet signature is needed (Benefact 1342).

Pick the service
Initial or follow-up
Pathway, or what happened
Primary condition, then tap the PIN to copy

Service

Assessment

Referral / source

Clinical status

Primary condition (ICD-9)

Still required on every claim

Special Service Code L (initial) or M (follow-up).
Initial: service date is the date consent was obtained; submit within 14 days.
No patient wet signature since Oct 1. Obtain and document consent from the resident or decision maker (M.O. 630/2026, Benefact 1342).
One initial CACP or SMMA per 365 days; up to 4 follow-ups per 365 days. An SMMA during a CACP period rejects (NJ).
Keep the most recent completed plan on the record for at least 10 years; give the patient a copy or summary.
Follow-ups may use any ICD-9 that fits the condition addressed; it doesn't have to be on the initial eligibility list.
Until Oct 31, 2026: if a new CACP/SMMA PIN gives a claim submission error, you may use the old SMMA Initial or Follow-Up Assessment PIN (Benefact 1347).

Retired Oct 1, 2026 (claims reject): APA service PINs 00000081111 · 00000081119, and the old care-plan PINs 00000071112 · 71113 · 71114 · 71115 · 71117 · 71118 · 81112 · 81113 · 81114 · 81115 · 81117 · 81118

Renewal, or care-plan follow-up?

Same clinical act, different claim. Decide by whether a CACP or SMMA follow-up is happening.

Situation	PIN	SSC	ICD-9	Fee
Ordinary renewal for continuity of care	00000071111	F	Not needed	$20
Renewal done as the intervention at a CACP follow-up	00000012030	M	Required	$20
Renewal done as the intervention at an SMMA follow-up	00000022030	M	Required	$20
Renewal at an SMMA Tobacco follow-up	00000032010	M	305	$20

Only one service claim per patient per day, so it is one or the other, not both. Follow-ups need an initial plan on file (else QL) and count toward the 4-per-year limit.

Reading a PIN at the counter

000000 1 2 03 0

7th digit: 1 CACP · 2 SMMA (incl. Diabetes) · 3 SMMA Tobacco
8th digit: 1 initial (SSC L) · 2 follow-up (SSC M)
Initial 9–10th: pathway (1 discharge, 2 self/RPh, 3 HCP, 4 cont. care) then status (1 unstable, 2 new dx, 3 stable needs review, 4 risk)
Follow-up 9–10th: outcome, table below

Follow-up outcome	CACP / SMMA ends	Tobacco ends

Tobacco follow-ups don't follow the CACP/SMMA order. "Stable, no change" is …32090 for tobacco but …2010 for CACP/SMMA. Some staff cheat sheets say the endings are parallel across all three; that holds for CACP and SMMA only.

Worked examples

Scenario	PIN	SSC	ICD-9
CACP, pharmacist initiated, stable HTN needing medication review	00000011230	L	401
CACP, heart failure, 9 days after hospital discharge, unstable	00000011110	L	428
SMMA, newly diagnosed type 2 diabetes, pharmacist initiated	00000021220	L	250
SMMA, physician recommends for unstable asthma	00000021310	L	493
SMMA Tobacco, patient asks for help quitting	00000031200	L	305
CACP follow-up, HTN at target, no change	00000012010	M	401
CACP follow-up, diabetes dose change prescribed	00000012040	M	250
CACP follow-up, heart failure, lab ordered	00000012080	M	428
SMMA follow-up, asthma, monitoring / POCT	00000022090	M	493
SMMA follow-up, sent to emergency department	00000022100	M	Condition addressed
CACP follow-up, ADHD focus, medication renewed	00000012030	M	314

The ICD-9 at follow-up can differ from the initial assessment when the focus changes (for example, a diabetes CACP whose follow-up addresses worsening heart failure reports 428).

All 65 PINs in Kroll and full formats, with ICD-9 codes, on one sheet.

All 65 new PINs

PIN	PIN name (as in your software)	SSC	Pathway / outcome

Condition / risk factor	ICD-9 to submit

Benefacts 1335, 1341, 1342, 1347 · Compensation Guide

Fees, services & compounds.

Maximum dispensing fees from Oct 1, 2026

Product	Days' supply	Fee
Schedule 1 & 2 drugs (incl. compounds bought from a compounding pharmacy)	< 84	$12.35
Schedule 1 & 2 drugs	84 or more	$13.50
Compound prepared in-store	any	$18.45
Community Based Naloxone kit	per kit	$12.35
Purchased compound (incl. topical NSAID / diclofenac)	by days	$12.35 / $13.50
Prescribed Schedule 3 / unscheduled OTC (government plans)	any	Pre-Oct 1 rules Postponed
Nutritional products, diabetic supplies	any	$0.00

Maintenance and daily dispensing rules can reduce an otherwise payable fee to $0. The OTC and nutritional changes in Benefact 1335 are postponed with no new date (Benefact 1342); keep using the pre-October 1 upcharges and fee.

OTC price calculator

Postponed: the October 1 OTC and nutritional changes were delayed for technical reasons (Benefact 1342). "Now" uses the pre-October 1 rules.

Category MLP or LCAP ($)

	Now (pre-Oct 1 rules)	Postponed change

AU#2 is 10% of (MLP or LCAP + AU#1), to a maximum of $100.

Topical NSAID / diclofenac compounds

Benefacts 1341 and 1347, all government-sponsored plans. The $0.55 per gram cap applies when diclofenac or an NSAID is the only active ingredient, with or without lidocaine, menthol, camphor, capsaicin or phenol at any strength. Pick the PIN by what is in the compound.

Compound	Made in store	Purchased	$0.55/g cap
Diclofenac only (± lidocaine, menthol, camphor, capsaicin, phenol)	00999102	00999202	Capped
Other NSAID only (same add-ons allowed)	00999105	00999205	Capped
Diclofenac or NSAID plus another active ingredient (e.g. cyclobenzaprine)	00999201	00999200	Not capped
Other topical with no diclofenac, NSAID, retinoic acid, salicylic acid, anti-infective or corticosteroid (e.g. 2% diltiazem)	00999112	00999213	Not capped

Fees: made in store $18.45; purchased $12.35 (under 84 days) or $13.50 (84+ days). Government monitors the uncapped multi-ingredient PINs. For ingredients not on the Reference Guide, confirm coverage with ABC.

Made in store: lower of ingredient cost + AU#1, or $0.55/g.
Purchased: lower of invoice price, or $0.55/g.
AU#2 continues at 7%, maximum $100.
Don't use 00999201 / 00999200 for diclofenac or an NSAID with only the add-ons listed above; those stay capped. Amounts above the cap aren't reimbursed (Benefacts 1343, 1347).
Until Oct 31, 2026: compounds bought or ordered before Oct 1 under 00999202 or 00999205 may be claimed the former way, without the cap. All other claims follow the cap from Oct 1. There is no audit grace period (Benefact 1347).
Keep the formula and costs, or the supplier invoice, on file. Non-compliant claims may be recovered.

Calculator for capped compounds (00999102 / 00999202 / 00999105 / 00999205)

Made or bought Quantity (g) Invoice price ($) Days' supply

Benefact 1341 doesn't say whether AU#2 is calculated on the capped amount. This estimate applies it to the capped amount; confirm with ABC Provider Relations (1-800-361-9632) if it matters.

Clinical services: PIN, code, fee and cap status

Since Oct 1: APA PINs 00000081111 and 00000081119 reject. Every eligible pharmacist uses 00000071111 or 00000071119 with the SSC; 00000081116 (SSC K) remains APA-only (Benefact 1342).

Assessment	SSC	PIN	Max fee	Limit	In $13K cap

Fees from the Pharmacist's Guide to Pharmacy Services Compensation, September 2026 (v2).

Benefact 1337

Maintenance medications

Applies to all government plan members except Palliative Coverage. Once stable, maintenance drugs are expected at 84–100 days. A fee for 84–100 days always pays, subject to the early refill limit: 70% of the previous supply must have elapsed.

Is the drug on the MML?
First 3 fills of a new drug or dose?
Days' supply
Eligibility reason: get the code and form

Will this fill pay a fee?

Drug

One of the first 3 fills of a new drug or new AFR (dose change)?

Days' supply

Eligibility reason

Reason	Code (MML only)	2–27 d	28–83 d	Form	Annual limit / AFR	Min. interval

Frequency caps on shorter fills

2–27 days: max 2 dispensing fees per 28 days per AFR.
28–83 days: max 1 dispensing fee per 28 days per AFR.
Claims that miss the minimum interval are adjusted to a $0 fee.
Non-MML maintenance drugs need no intervention code, but the signed form is still required to support a shorter-fill fee.

No form needed for these

Under-84-day fills of inhalers, eye drops, ear drops, injectables (except Depo-Provera), topicals (creams, ointments, gels, lotions) and compounds need no Frequent Dispensing Authorization Form. Quantities must still be clinically appropriate (Benefact 1347).

Authorization form

Deadline: complete and keep it by Oct 31, 2026; ABC audits enforce it from Nov 1 (Benefact 1342).
Signed by the patient or agent and the pharmacist; copy to the patient. Use the updated form (Oct 2026) from Forms & print.
A physician or nurse practitioner may sign instead when the patient is unwilling or unable to sign, the prescriber directed the shorter interval, and, after discussing it with the pharmacist, confirms it is in the patient's best interest. The pharmacist obtains the prescriber's signature (Benefact 1347).
Renew every 12 months; keep 2 years for audit. Patient can withdraw consent.
Type B/C continuing care, SLA and Seniors Lodge residents: no form. The facility must be listed on the Assisted Living Navigation Portal; unlisted facilities count as facility living. MML claims for Type B/C and SLA use MY.

Days' supply

Submit the whole treatment period the quantity covers. A 21-tablet oral contraceptive with a 7-day break is 28 days, not 21 (Benefact 1342).

MML drug categories

ABC adds ingredients to these categories over time. Check the live list before relying on a status.

Exempt from this policy

Acute or short-term dispensing
Palliative Coverage members
Opioid dependence treatment (methadone, buprenorphine/naloxone)
All Albertans programs: Mifegymiso, CBN naloxone kits, oseltamivir outbreak prophylaxis

Benefacts 1326, 1336, 1338, 1348 · Compensation Guide

Vaccines & naloxone.

The 2026–27 fall program and the October changes to Community Based Naloxone claims. Tap a PIN or DIN to copy it.

Fall 2026–27 immunization

Pharmacies that have received vaccine may immunize eligible people now (Benefact 1348). Primary Care Alberta and Public Health start their public program October 19, 2026. Influenza is funded for all Albertans 6 months and older; pharmacists give provincially funded vaccine to ages 5 and older.
Provincially funded COVID-19: adults 65+, and people 6 months+ in continuing care or supportive living, with underlying conditions, pregnant, First Nations, Inuit or Métis, health care and other care providers, and teachers. Pharmacies give it to ages 12+.
Outreach in congregate care can begin once vaccine arrives. A 20% wastage threshold applies.
Outreach stays the priority: keep vaccine meant for outreach facilities available and don't use it for the general public. Wholesale delivery schedules are unchanged; if you've used your first supply, wait for replenishment orders. Extra supply requests can't be accommodated (Benefact 1348).

Service	PIN	Product identifier
Influenza, in pharmacy	40010002	Flucelvax, Fluzone: FLU · Fluad: FLU-ADJ
Influenza, outreach	40010007	—
COVID-19, in pharmacy	40010010	SpikeVax, Comirnaty: COVIDmRNA · Nuvaxovid: COVIDrSpike
COVID-19, outreach	40010006	—

Vaccine	DIN	Use
Flucelvax PFS	02553708	Standard-dose influenza
Fluzone PFS	02365707	Standard-dose influenza
Fluad	02362384	Adjuvanted influenza, 65+
SpikeVax PFS	02557770	COVID-19, 12+ · keep frozen; 60 days at 2–8°C once thawed
Comirnaty PFS	02552035	COVID-19, 12+ · 2–8°C, don't freeze
Nuvaxovid PFS	02558998	COVID-19, 12+ · max 1 unit (10 doses) a week; expires Dec 2026

Reason codes, in priority order: continuing care and supportive living · occupational · other risk · routine recommended · non-provincially funded. Administration fee: up to $13 per injection, $17 in the Outreach program (Compensation Guide, Sep 2026). Vaccine administration is excluded from the $13,000 cap.

Community Based Naloxone kit claims

From October 1, 2026, every CBN kit claim needs the person's own PHN (Benefact 1336).

DIN: 02393034
Carrier: 16
Group: 23464
Section: 000
Quantity: 1 kit (3 vials); never more than 5 kits a person a day
Drug benefit fee: Up to $12.35
Naloxone cost: Up to $0.01 per kit
Reference code: 86

Pharmacist gives kit: Prescriber ID and Pharmacist ID: the pharmacist's licence number
Technician gives kit: Prescriber ID 22111PT; Pharmacist ID: the pharmacist's licence number
No PHN, urgent need: Pseudo-PHN NX0000000, first name Program, last name Naloxone, any valid date of birth. Only when no PHN is available and no community organization nearby offers kits.
Kits: Black CBN kits for the program, kept in the dispensary. Red workplace kits are bought by workplaces.

Benefact 1329 · Compensation Guide · Benefact 1321

Claims & coverage

Bill 11: who to bill first

Ask about every plan: private, employer, retiree, federal programs.
Bill private and employer plans first. NIHB and Veterans Affairs Canada are also billed before Alberta government plans.
Bill Coverage for Seniors or Non-Group Coverage last, as payor of last resort.
Confirm special authorization is in place before submitting, for both private and government plans.
Explain to patients that government coverage continues; only the order changes.

Bill 11 also requires employers to keep drug and supplemental benefits for actively employed staff 65 and older.

Pharmacy service claim fields

Group #: 23464
Section: 000
Carrier code: 16
Client ID: Patient PHN
Relationship: 0 if required
Service date: Date the service was performed (initial CACP/SMMA: date consent was obtained)
ICD-9: Required on CACP/SMMA and follow-ups from Oct 1
Quantity: 1
Pharmacist ID: Registration # of the pharmacist providing the service
Prescriber ID: Must match Pharmacist ID (since Jun 26)
Prescriber ref ID: 86
Fee: Service fee in the dispensing fee field

Supplies over 100 days and travel

Benefact 1346. No phone call needed for most members: submit a direct bill claim. Up to 200 days is accepted in real time if the member is eligible; coordination of benefits applies at the claim.

Response	Meaning	What to do
GD	Not eligible for a quantity authorization	Group 1 or 66 member on the plan under 90 days, no drug history on the plan, coverage ends before the supply does, or palliative care
SD	Maximum days' supply allowed is X	Resubmit with the quantity adjusted to X days
D9	Call Adjudicator	Phone ABC for review
OU	Refill is X days early	Early refill; use MV only for travel
KN	Day supply limit for period exceeded	More than the special authorization period; prescriber may need to renew the SA, or phone ABC

MV (vacation supply) is for early refills because of travel, leisure or work, up to 200 days on hand. Not for moving. Some plans cap travel supplies per product per benefit year; that limit can't be overridden.
For MV, document the early dispense date, the reason, and a summary of your talk with the prescriber, caregiver or patient. Keep it 2 years for audit.
Phone ABC only for: narcotics or controlled drugs, biologics or high-cost drugs (allow 2 weeks), packaging that can't make the days' supply (e.g. Didrocal kits, insulins, inhalers), and D9 or KN rejections. Have ready: pharmacy licence, member name, date of birth, ABC ID, PHN, DINs, quantity, days' supply, departure and return dates.
Use judgment on drug availability; dispense a smaller supply when needed to protect supply.

Rejection codes on service claims

Code	Meaning	Usual fix

Insurance cards in Kroll · checked Oct 31, 2026

Type the card as printed. Get exactly what goes in each Kroll field.

Pick the plan, copy the numbers off the card, and the Billing Desk adds the leading zeros, joins the section, splits the patient code and tells you where the plan sits in Kroll's plan order.

2026 CHANGES

Check these on existing Kroll profiles

AISH and ADAP (SS): enter the group as 0019823 A (space, then A), as we do at the counter. Benefact 1328 lists section X for AISH and A for ADAP; if a claim rejects, try X. Update old AISH profiles from the new card. Benefact 1328
Plan order (Bill 11, from Oct 1): Seniors (66) and Non-Group (1) go below every private, employer and federal plan in Kroll. Benefact 1345
Naloxone (ABPHAP): bill on the patient's own PHN. NX0000000 only for an emergency or when there's no PHN and no community kit site nearby. Benefact 1336
Health cards: the PHN is now on renewed driver's licences and ID cards. A paper or mobile card needs photo ID too. Benefact 1325

Add a card in Kroll: step by step

Kroll plan codes

Every plan with its Kroll code, carrier and field formats. Tap one for the rules, or to fill in a card.

Kroll's Plan list, A to Z (38 codes)

The complete Plan list in Kroll's Patient Plan Information screen, Version 10, checked Nov 3, 2026.

Code	Name in Kroll	In this tool
AADL	Alberta Aids To Daily Living	Billed on its own
ABBC	Alberta Blue Cross	Seniors, Non-Group, Palliative, ABC employer plans, ASEBP, NWT
ABPHAP	Alberta Public Health Activities Program	Pharmacy services, vaccines, naloxone
AHE	Assure	TELUS Health Assure insurers
AHE-ABT	Assure (Abbott Meter Program)	FreeStyle meters
AHE-ACM	Assure (Auto Control Medical Meter Program)	Auto Control meters
AHE-LS	Assure (LifeScan Meter Program Health)	OneTouch meters
AHE-RD	Assure (Roche Diagnostics Meter Program)	Accu-Chek meters
AMH	Claim Secure (Alberta Monitoring For Health)	Not covered here yet
BA	Bayer Meter Reimbursement Program	Contour meters
CAF	Canadian Armed Forces (National Defence)	Canadian Armed Forces
CBP	Canadian Benefit Provider Inc.	Canadian Benefit Provider
CS	Claim Secure	ClaimSecure
CSPAC	Claim Secure Patient Assistance Card	ClaimSecure Rxhelp card
ESI	ESI Canada	Express Scripts insurers
GS	Green Shield Canada	Green Shield, and Green Shield smart cards
IA	Non Insured Health Benefits (NIHB) (old)	Old NIHB plan: use NIHB
IABGS	Bigstone (NIHB)	Bigstone Cree Nation
IFHP	Interim Federal Health Plan	IFHP
MBC	Manitoba Blue Cross	Manitoba Blue Cross
MDM	MDM	MDM Insurance
MVBC	Medavie Blue Cross	Medavie Blue Cross
NET	Alberta Netcare	Not a payor
NIHB	Non Insured Health Benefits (NIHB)	NIHB
NNT	Nunatsiavut Government, Dept. Of Health	Not covered here yet
NX	Nexgen Rx	Nexgen, and Nexgen smart cards (carrier 98)
PBC	Pacific Blue Cross	Pacific Blue Cross
PSHCP	Public Service Health Care Plan	PSHCP
RCMP	RCMP	RCMP
SBC	Saskatchewan Blue Cross	Saskatchewan Blue Cross
SEG	SEGIC	Not covered here yet
SES	Smart Employee Solutions Benefits	Not covered here yet
SPDP	Saskatchewan Prescription Drug Plan	Not covered here yet
SS	Alberta Human Resource And Employment	AISH, ADAP, Income Support, Child and Adult Health, CFS
SSQ	SSQ Financial Group	Beneva
STI	STI SmartCard	InnoviCares
VET	Veterans Affairs Canada	Veterans Affairs
WCBAB	Workers Compensation (AB)	WCB Alberta

Formats come from the ABC Pharmacy Reference Guide (June 2026), ABC Benefacts 1322, 1325, 1328, 1329, 1336 and 1345, and plan cards. Items marked as counter tips are pharmacy team experience: if a claim rejects, confirm with the plan. Educational reference, not an adjudication guarantee. Kroll is a TELUS Health product; this page is independent and not affiliated with it.

Official documents take precedence

Sources

All links go to Alberta Blue Cross directly, so you always open the current version.

Document	Date	Covers

Error in the official PIN FAQ: Appendix 1, Scenario 7 (lab test ordered at a CACP follow-up) lists PIN 00000012040, which is the dose-change PIN. Appendix 2 of the same FAQ gives 00000012080 for CACP Follow-up – Lab Ordered. This site uses the Appendix 2 value.

ABC Pharmacy Services Provider Relations

Toll free: 1-800-361-9632
Edmonton: 780-498-8370
Calgary: 403-294-4041

What are you doing right now?

At a glance

Rolling 28-day cap tracker.

Add a claim

CACP / SMMA PIN finder.

Still required on every claim

Renewal, or care-plan follow-up?

Reading a PIN at the counter

Worked examples

Fees, services & compounds.

Maximum dispensing fees from Oct 1, 2026

OTC price calculator

Topical NSAID / diclofenac compounds

Clinical services: PIN, code, fee and cap status

Maintenance medications

Will this fill pay a fee?

Frequency caps on shorter fills

No form needed for these

Authorization form

Days' supply

MML drug categories

Exempt from this policy

Daily dispensing

Can I claim a daily fee?

Checklist

Vaccines & naloxone.

Fall 2026–27 immunization

Community Based Naloxone kit claims

Claims & coverage

Bill 11: who to bill first

Pharmacy service claim fields

Supplies over 100 days and travel

Rejection codes on service claims

Type the card as printed. Get exactly what goes in each Kroll field.

Add a card in Kroll: step by step

Kroll plan codes

Forms & printables.

Print from this site

Forms to print and sign

Guides and FAQs

Sources

ABC Pharmacy Services Provider Relations