Keyword: drug plan management

505 results found
‘The sky is not falling’ on drug costs

While Canadians hear about the high cost of drugs all of the time, “the sky is not falling,” said Jim Favaro, senior manager for private payers at Amgen Canada Inc. Favaro, speaking at the Calgary Drug Trends Summit on Nov. 23 on behalf of Innovative Medicines Canada, said he believes plan sponsors need to take […]

Solutions to ease employee backlash to plan design changes

Keeping private drug plans sustainable is key for all Canadians. While measures such as mandatory generic substitution and prior authorization are standard solutions in many employer drug plans, costs continue to rise. As employers consider what to do next, there’s a role for pharmacy to play, according to Mark Rolnick, vice-president of payor partnerships and […]

Have your say: Will OHIP+ bring meaningful savings for private plans?

As 2018 quickly approaches, so too does the rollout of Ontario’s new youth pharmacare coverage for those aged 24 and younger. The plan, which launches on Jan. 1, 2018, will provide universal coverage of all medicines listed in the Ontario Drug Benefit formulary. But will the government’s program, also known as OHIP+, lead to savings for […]

  • By: Ryan Murphy
  • November 27, 2017 September 13, 2019
  • 16:30
Canadian physicians more familiar with biosimilars but still lack understanding: survey

Canadian physicians are becoming more familiar with biosimilars, according to a new survey by the U.S.-based Alliance for Safe Biologic Medicines. The organization’s new survey, which polled more than 400 Canadian prescribers of biologics from 13 therapeutic specialties, found 83 per cent of respondents are either familiar or very familiar with biosimilars, compared to 58 per cent […]

  • By: Sonya Felix
  • November 27, 2017 September 13, 2019
  • 10:10
Sounding Board: A primer on OHIP+ for private payers

Although a national pharmacare strategy seems elusive, the Ontario government is making a fairly aggressive investment in that area by spending $465 million to boost its provincial drug coverage by covering residents under age 25 and from 65 onwards. The program, known as OHIP+, begins Jan. 1, 2018. Children and youth under age 25 will by automatically eligible […]

  • By: Chris Pryce
  • November 24, 2017 September 13, 2019
  • 10:45
Editorial: Shining a bright light on drug costs

It’s hard enough for plan members to understand how they can best use their benefits plans, particularly when they’re unaware of the details of the fees charged by service providers. Consider drug claims at a pharmacy. Many plan members aren’t aware that the cost includes an amount for the drug itself, a markup by the […]

  • By: Glenn Kauth
  • November 21, 2017 September 13, 2019
  • 09:00
The role of benefits plans in responding to the opioid crisis

More than 2,500 Canadians died from opioid-related overdoses in 2016, according to the Public Health Agency of Canada. The situation is particularly grave in the West. This year, British Columbia alone is on track to see 1,400 deaths due to opioids. The province declared a state of emergency in April 2016, and Alberta followed suit […]

New app helps Canadians compare drug costs, find alternatives

The Reformulary Group Inc. has launched an app for its DrugFinder service that allows all Canadians to search the company’s curated list of medications. Previously only available to employees whose companies subscribed to the company’s formulary, the service allows users to find the cost, level of reimbursement and availability of any suitable alternative drugs. Read: Reformulary […]

  • By: Staff
  • November 9, 2017 September 13, 2019
  • 10:58
Encouraging better decisions by high-cost claimants the ‘greatest opportunity to capture savings’

Increased drug spending and the arrival of new, high-cost medications require innovative approaches to drive better decisions by plan members, according to John Herbert, director of strategy, product development and clinical services for Express Scripts Canada. As recent data from the Canadian Institute for Health Information shows, prescription drug spending in the private sector in Canada […]

Health Canada puts brakes on plan for orphan drug framework

Earlier this month, Health Canada did some substantial editing to its website, removing all references to a planned regulatory framework for orphan drugs. Orphan drugs are medications that treat rare diseases. The framework was an effort to help increase their availability for patients and foster their development by companies and researchers. Currently, Canada is one of the […]

  • By: Ryan Murphy
  • October 27, 2017 September 13, 2019
  • 08:55