ODBA (Ontario Drug Benefit Act)

Question 1

ODBA

Answer 1

Pharmacy operators are not obligated to participate in the ODB program and are able to opt out
-However, if they wish to participate, they must sign an agreement agreeing to all terms and conditions of the ODB program

Question 2

The regulation to the ODBA called the Ontario Regulation

Answer 2

• Clarifies the intent of the act
• clarifies the role and powers of the Executive Officer
• Introduces the processes to implement many of the concepts or intent of the act
• Defines benefits and what is acceptable

Question 3

The ODBA is based on the following principles where the public drug system aims to

Answer 3

-meet the needs of Ontarians, as patients, consumers and taxpayers
-involve consumers and patients in a meaningful way
Operate transparently to the extent possible for all persons with an interest in the system, including, without being limited to, patients, health care practitioners, consumers, manufacturers, wholesalers and pharmacies
-consistently achieve value for money and ensure the best use of resources at every level of the system
-make funding decisions for drugs based on the best clinical and economic evidence available

Question 4

The pharmacy council:

Answer 4

-is established by the minister of health
-is co-chaired by representatives of the ministry of Health and the Ontario Pharmacists Association
-Ensures the involvement of pharmacists in the development of pharmaceutical and health policy
-Allows pharmacists to provide advice to the executive officer and minister of health
-Is involved in defining and implementing a pharmacists
professional services

Question 5

Executive Officer

Answer 5

-Replaces the minister of health for the purpose of administering both the ODBA and drug Interchangeability and Dispensing Fee Act

Question 6

Interchangeable

Answer 6

With respect to a drug product, interchangeable means a drug or combination of drugs identified by a specific product name or manufacturer and designated under DIDFA as interchangeable with one or more other such products

Question 7

Listed Drug Product

Answer 7

Means a drug or combination of drugs in a particular dosage form and strength identified by a specific product name or manufacturer and designated as a listed drug product

Question 8

Eligibility

Answer 8

Community based, out-patient drug benefits to the following Ontario residents:

-Eligible for OHIP
65 years of age
-qualify for drugs benefits under odb on the first day of the month following their 65th birthday
receiving Ontario disability support program or ontario works benefits
residing in homes for special care or long term care homes
-receiving services under the home care program
-registered in the trillium drug program

Question 9

The formulary is divided into 12 parts

Answer 9

part 1 - introductio
part ii - preamble ODB formulary
part ii-formulary listings
part iv - alphabetical index of drug products listed in the part iii
part v - index of pharmacoligic-therapeutic classification
part vi facilitated access - hiv/aids and palliative care drug products
part vii - trillium drug program
part viii - exceptional access program(eap)
part x - abbreviations
part xi - section currently not in use
part xii - limited use drug products