Billing
For ODB-eligible recipients
The claim submission follows the usual process (See Section 5 of the Ontario Drug Program
Reference Manual) for submitting claims on the HNS with the following additional information:
• Intervention code ‘PS’: (Professional Care Services)
• Product Identification Number (PIN): for the applicable minor ailment services provided (see
Table 1 above)
• Valid Pharmacist ID
• Professional Fee: see Table 1 above for ‘Total Amount Paid’
For Non-ODB recipients
When submitting a claim for an eligible person who does not have ODB coverage, pharmacists must
submit the following information:
• Patient Gender: ‘F’ = female; ‘M’ = male
• Patient Date of Birth: Valid YYYYMMDD
• Patient’s Ontario Health Card number*
• Intervention codes:
▪ PS: Professional Care Services
▪ ML: Established eligibility coverage (i.e., 1 day of the Plan ‘S’ coverage)
• Carrier ID: ‘S’
• Product Identification Number (PIN): for the applicable minor ailment services provided (see
Table 1 above)
• Valid Pharmacist ID
• Professional Fee: see Table 1 above for ‘Total Amount Paid’
Propel RX DINS
UTI 90010061
Pink Eye/Conjuctivitis 90010260
Rhinitis 90010085
Dermatitis/Eczema 90010175