cover image: Catastrophic Drug Coverage in Canada / : Couverture des médicaments onéreux au Canada

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Catastrophic Drug Coverage in Canada / : Couverture des médicaments onéreux au Canada

14 Mar 2016

Under the 1867 Constitution, provinces and territories have primary responsibility for the administration and delivery of health services to Canadians, while the federal government is responsible for the delivery of health care to specific subpopulation groups.12 Provision of health care in Canada is also based on the Canada Health Act, which establishes five principles that provinces and territor [...] Consequently, some provincial governments, including those in Saskatchewan and Manitoba, began moving toward the provision of universal catastrophic drug coverage plans.17 In the 1970s and 1980s, the federal government also began to provide drug coverage to First Nations and Inuit, veterans, federal inmates, members of the Canadian Forces and the RCMP, and certain refugee claimants,18 as part of i [...] The variations for each of the main options and the cost of the option with or without the maintenance of private plan coverage are outlined in Table 1. Table 1 – Proposed Catastrophic Drug Coverage Programs and Their Costs Cap on Out-of-Pocket Costs Variations Estimated Costs in 2006 Dollars Variable percentage of annual family income With private plan. [...] These programs offer access to drug coverage to approximately 53% of the Canadian population.45 In 2014, provincial and territorial spending on prescription drugs through these programs was projected to reach $12.1 billion, or 42% of total prescription drug expenditures in Canada.46 4.3.1 CATASTROPHIC DRUG COVERAGE PLANS The drug coverage programs offered by provincial and territorial governments [...] However, a 2009 study that compared the breadth and depth of the formularies of provincial and territorial drug plans for the general population, social assistance recipients and seniors concluded that Canada was operating with a significant “implicit national formulary” by virtue of the fact that provincial formularies independently yet mutually list most of the top- selling medicines on the mark
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Pages
23
Published in
Ottawa, Ontario

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