Module 10 Flashcards
early regulation of medicines in Canada
- opiate act
- federal department of health (food and drugs act)
coinsurance
a system where a patient pays a set percentage of the amount per drug or per prescription
copayment
an amount per drug per prescription that a patient pays
deductible
a limit up to which a patient pays the full cost of the drug. after deductible is reached no longer pay or has reduced payment
premium
a fixes amount, not related to number of prescriptions, that a beneficiary must pay to be eligible for prescription drug insurance
formulary
list of medicines included in the insurance plan
universal coverage
coverage for prescription drugs that is available to all Canadians and enables them to access necessary medicines
financing for public drug benefit programs
- selected populations
- other provinces use catastrophic protection
- majority still private insurance/out of pocket
drug review process for Pharmacare in BC
- approval by health canada
- patented medicine prices review board
3.CADTH
4.Review by provincial drug benefits/final formulary approval
approval by Health Canada
- research safety, effectiveness
- notice of compliance
patented medicine prices review board
- protect consumers by manufacturers prices not too high
CADTH common drug review
- doesn’t look at safety, just cost benefit
- non-binding, just recommendations
Review by provincial drug benefits/final formulary approval
Fair Pharmacare
is monitoring drug safety systematic
no
national forum on health recommendation differences with hall
- user charges only when consumer wants to have more expensive drug but same efficacy
conference board report coverage options
universal
- comprehensiveness public coverage
- public coverage of essential medicines
- income based deductible public coverage
targeted public coverage
- individual mandate
- optional public coverage
Bill C64
- provides universal public coverage but only for contraceptive drugs and diabetic meds
- full in the gaps program with a central role for private insurance companies
doesn’t reduce admin complexity - more fragmented
- increase drug costs
Canada vs others on total per capita spending on prescription drugs
Higher, but Quebec is higher than Canada
t or f most Canadians do not have insurance for prescription medicines
false
true or false - income based Pharma plans do not involve paying premiums
true
