Sources and verification
FRx separates primary public documents, provider manuals, carrier pages, representative confirmations, and community field notes. Public and provider documents are preferred for published billing rules. Field notes may explain a workflow, but they should not be treated as authority unless a stronger source supports them.
Each guide page lists the source family used for that topic. The lookup tool also stores source keys for carrier facts and visible source pills for static references. When a source is outdated, contradicted, or unavailable, the published content should be softened or removed rather than guessed.
Primary manuals and source hubs
ODB is not the only authority. Use the source that matches the patient's plan, public program, adjudicator, or carrier.
Ontario Drug Programs Reference Manual
ODB claim submission, vacation supply, intervention codes, and program rules.
Open source ↗ Federal public planNIHB Pharmacy Benefits Guide
NIHB pharmacy benefit policies for eligible First Nations and Inuit clients.
Open source ↗ Provincial public planBC PharmaCare Policy Manual
Policy manual for PharmaNet claim submission, out-of-province rules, and coverage policies.
Open source ↗ Provincial PIN listBC PharmaCare PINs
Product identification numbers created by PharmaCare for PharmaNet adjudication.
Open source ↗ Public/private planAlberta Blue Cross Reference Guide
Alberta Blue Cross pharmacy reference guidance and PIN tables.
Open source ↗ Adjudicator hubTELUS Health Pharmacy Support Documents
TELUS Health support documents for Assure and pharmacy claim-processing workflows.
Open source ↗ Adjudicator manualExpress Scripts Canada Provider Manual
ESI pharmacy provider manual for private-sector claims outside Quebec.
Open source ↗ Carrier manualGreenShield Pharmacy Claims Manual
GreenShield claims manual and ProviderConnect pharmacy resources.
Open source ↗ Carrier guideMedavie Blue Cross Provider Guide
Medavie pharmacy provider guide for pharmacy claim processing context.
Open source ↗ Carrier manualSSQ / Beneva Pharmacy Claims Manual
ProviderConnect-hosted SSQ pharmacy claims manual for SSQ/Beneva plan conventions.
Open source ↗ Federal programIFHP Health-care Professionals Handbook
Interim Federal Health Program handbook for health-care providers.
Open source ↗ Carrier agreementClaimSecure Provider Agreement
Public provider agreement confirming the ClaimSecure Pharmacy Manual is incorporated and must be requested from ClaimSecure for the current version.
Open source ↗Other source families
Shoppers / field billing guide — ClaimSecure RXP vacation and early refill
Practical field billing reference used for ClaimSecure/RXP refill timing: refills are generally allowed after 3/4 of the previous days supply has elapsed, and MG is listed for Maintenance Drug Program 30-day dispensing. Use with prescription-record documentation.
Ontario routine immunization schedule
Official Ontario routine schedule page used for public vaccine eligibility and catch-up references, including live/work/school eligibility language for annual fall flu and COVID-19 vaccines.
Canada adult vaccination schedule
Federal adult routine vaccination schedule used as a cross-check for Ontario adult boosters, shingles, pneumococcal, and pregnancy Tdap.
Ontario HPV vaccine eligibility
Ontario HPV vaccine eligibility source used for school catch-up and publicly funded high-risk HPV criteria.
OCP vaccine administration scope
Ontario College of Pharmacists Schedule 3 vaccine list used to distinguish pharmacy-administered vaccines from clinic/public-health routing.
Ontario pharmacy vaccine expansion
Ontario scope expansion source used for the July 2026 note on publicly funded pharmacy administration of tetanus, pertussis, diphtheria, pneumococcal, RSV, and shingles vaccines.
Toronto Public Health adult vaccine guide
Adult vaccine quick-reference table used for Ontario eligibility and public-funding criteria in the Programs → Public Health panel.
STOP on the Net (SOTN)
Intrepid Lab / STOP online smoking cessation program page used for Ontario eligibility and free NRT patch plus gum/lozenge supply details.
Ontario forms catalogue
Ontario government forms catalogue used to verify public program forms and application paths.
Ontario Executive Officer Notices
Ontario Ministry of Health notices used for funded clinical-service PINs and public program updates.
Diabetes Canada coverage resources
Coverage tables used for public diabetes-device context by jurisdiction.
Correction standard
Corrections should identify the affected page, the claim or rule, the source that supports the correction, and the date of verification. Unsourced corrections are useful leads, but they are not automatically published as facts.
Source hierarchy
FRx gives the most weight to current Ministry documents, public program manuals, adjudicator manuals, carrier provider resources, regulatory pages, and official forms. Secondary summaries and field billing guides can explain how a problem appears in practice, but they are treated as supporting context unless a stronger source confirms the rule.
Why sources are not hidden behind the tool
The lookup interface is fast by design, but the public source page needs to remain readable and crawlable. It lets readers see the difference between a primary manual, a carrier document, a field note, and an uploaded reference before they rely on a short tool result.
How dates are used
Dates are used to show when a rule, table, or program page was last checked. A date does not guarantee that the rule is still current; it tells the reader how stale the verification might be. High-risk sections should be rechecked more often than background glossary pages.
How unpublished knowledge is handled
Pharmacists often learn useful workflows from rejected claims, successful calls, and repeated plan responses. Those observations can be valuable, but they are not the same as published policy. FRx can use them to guide what should be verified, but public wording should make the uncertainty visible unless a stronger source confirms the rule.
Why source pages are linked
External source links are included so readers can leave FRx and verify a point at the primary location. The purpose is not to make FRx appear authoritative; the purpose is to make the path back to authority easier.