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Medication Coverage

After your transplant, you’ll need to take important transplant medications called immunosuppressants (anti-rejection medications). These medications prevent your body’s immune system from recognizing your transplant as a foreign organ. Without these medications, your immune system may reject your transplant. 

To stay healthy, follow the instructions given by your transplant clinic and take your medications as prescribed by the team. It’s essential that you take anti-rejection medications at the same time every day and 12 hours apart to avoid missing doses and to keep consistent blood levels of the medication in your body. Make sure that you understand the directions. Never change your dose unless your transplant physician, nurse or pharmacist tells you to do so.

What medications are covered by BC Transplant?

Note: BC Transplant will cover medications for patients who are a recipient of a solid organ transplant, have valid BC Medical Services Plan (MSP) coverage, and who are registered with BC Transplant.

  • Azathioprine
  • Cyclosporine
  • Mycophenolate (mofetil and sodium)
  • Prednisone and prednisolone
  • Sirolimus
  • Tacrolimus

You may also be prescribed some medications for certain viral infections like hepatitis B, cytomegalovirus (CMV), or BK virus. 

Anti-viral medication covered by BC Transplant include:
  • Adefovir
  • Entecavir
  • Lamivudine
  • Leflunomide
  • Tenofovir
  • Valganciclovir


Maximum day supply

BC Transplant will fund a 100-day supply (3 months) of transplant medications.  This is similar to the guidelines with BC Pharmacare and many third party health insurance companies. You may request to get up to a 4-month supply if you’ve had your transplant for a long time and your medications are not changing. Please contact  your transplant clinic nurse or pharmacist if you have any questions.

Medications that aren't covered by BC Transplant

There are also other preventative anti-infective medications that you may need to help your immune system fight certain infections. These medications are not covered by BC Transplant, but may be covered by BC Pharmacare program. Please check with your healthcare provider or pharmacist for more information.

  • Candida (thrush): Nystatin, Fluconazole
  • Aspergillus: Voriconazole, Amphotericin B 
  • PCP/PJP pneumonia: Sulfamethoxazole/Trimethoprim (Septra/Bactrim, Sulfatrim), Dapsone

Drug interactions card

BC Transplant has designed a wallet card to help remind you of potential drug interactions that could affect your transplant medications and your health.  Drug interactions can be serious so it's important you check with your healthcare professionals before starting or stopping any medications, herbal products or over-the-counter medications.

Ask your transplant clinic for this card at your next appointment. You can can print off a temporary card here.

SOURCE: Medication Coverage ( )
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