Insurance Coverage Check

Let us help you find out if iron infusions are covered by your insurance.

Fill out the form below and a representative from Macdonalds Pharmacy will contact you regarding your coverage.

Your Name

First Name

Last Name

Phone Number

(###)

###

####

Date of Birth

YYYY

Health Care Number

Plan Name

Enter your plan name (ie. Blue Cross)

Insurance Information

Please add all plan information that is displayed on your insurance card such as Carrier ID (2 digits), Certificate #, Client ID #, Group ID, Client ID (plans may vary so your plan may not have all these details). Please enter numbers with spaces in between as shown exactly on your card. Ensure that you are viewing your prescription benefits card.

Are you the primary card holder?

If no, what is your relationship?

Referring Physician's Name

First Name

Last Name

Referring Physician's Phone

(###)

###

####

Type of Iron Infusion Treatment

This can be found on your prescription

Dose

This can be found on your prescription

Frequency

This can be found on your prescription

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Vancouver

672 Leg in Boot Square
Vancouver, BC V5Z 4B4
by Appointment Only
Phone: 604-876-2344

Surrey

Suite 301, 9639 137A Street
City Center 2 Surrey, BC V3T 0M1
by Appointment Only
Phone: 604-900-7007 Ext. 100

Fax for both clinics: 604-608-3447

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