FAQ
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What is Canada PBM?
Canada PBM is a Vancouver-based pharmacy platform that supports U.S. Pharmacy Benefit Managers by offering licensed Canadian prescription fulfillment. We are powered by Marks Marine Pharmacy, a trusted name in cross-border pharmacy operations for over 15 years.
Who can use Canada PBM?
Canada PBM is designed for:
U.S.-based PBMs and health insurers
Employer-sponsored prescription plans
Third-party administrators (TPAs)
Drug discount and cash card programs
How do I sign up with Canada PBM?
You can get started by contacting the Canada PBM team for a discovery session. After confirming your eligibility and needs:
A service agreement is executed.
Technical integration (e.g., API or portal setup) begins.
Onboarding support ensures your teams are ready to use the platform.
Is there an integration required?
Canada PBM supports both integrated and non-integrated models:
API integrations for real-time eligibility, claims, and tracking.
Web-based portals for non-integrated access with minimal setup.
Product
What medications can be sourced through Canada PBM?
Canada PBM focuses on maintenance and non-controlled medications that are eligible for personal importation into the U.S. These are typically:
Brand-name medications with high U.S. retail costs.
Medications with equivalent labeling and dosage in Canada.
How are prescriptions filled and shipped?
Prescriptions are reviewed by licensed Canadian pharmacists.
Medications are dispensed in sealed, compliant packaging.
Orders are shipped directly to U.S. patients with tracking and support.
Is Canada PBM compliant with U.S. regulations?
Yes. All sourcing is conducted in compliance with U.S. personal importation policies and Canadian pharmacy regulations. Only government-licensed Canadian pharmacies participate in the program.
Can I control which drugs are available to my members?
Yes. Canada PBM allows PBMs and plan sponsors to:
Define their own formulary for Canada-sourced drugs.
Set eligibility rules and exclusions.
Customize the member experience and communications.
Payment
How are prices determined?
Pricing is based on:
Pre-negotiated rates with Canadian pharmacies.
Drug-specific cost savings vs. U.S. retail prices.
Transparent pricing—no hidden fees or markups.
How does billing work for PBMs or partners?
Canada PBM supports:
Per-transaction billing
Monthly invoicing
Rebate or revenue-share models, depending on agreement terms
Detailed reporting is provided for every transaction to ensure accuracy and transparency.
Are patients charged directly?
This depends on the partner’s program structure. Canada PBM supports:
Fully sponsored plans (no cost to patients)
Patient-pay models with transparent co-payments
Hybrid models where patients pay a share and PBMs subsidize the rest
What payment methods are supported?
U.S. dollar invoicing for partners
Secure payment portals for patient transactions (credit/debit)
ACH or wire transfers for high-volume PBMs
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Whether you’re exploring a new partnership, need technical details on API integration, or want to discuss fulfillment logistics, our dedicated PBM team is ready to connect with you.