Module 10

Question 1

early regulation of medicines in Canada

Answer 1

• opiate act
• federal department of health (food and drugs act)

Question 2

coinsurance

Answer 2

a system where a patient pays a set percentage of the amount per drug or per prescription

Question 3

copayment

Answer 3

an amount per drug per prescription that a patient pays

Question 4

deductible

Answer 4

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

Question 5

premium

Answer 5

a fixes amount, not related to number of prescriptions, that a beneficiary must pay to be eligible for prescription drug insurance

Question 6

formulary

Answer 6

list of medicines included in the insurance plan

Question 7

universal coverage

Answer 7

coverage for prescription drugs that is available to all Canadians and enables them to access necessary medicines

Question 8

financing for public drug benefit programs

Answer 8

• selected populations
• other provinces use catastrophic protection
• majority still private insurance/out of pocket

Question 9

drug review process for Pharmacare in BC

Answer 9

1. approval by health canada
2. patented medicine prices review board
   3.CADTH
   4.Review by provincial drug benefits/final formulary approval

Question 10

approval by Health Canada

Answer 10

• research safety, effectiveness
• notice of compliance

Question 11

patented medicine prices review board

Answer 11

• protect consumers by manufacturers prices not too high

Question 12

CADTH common drug review

Answer 12

• doesn’t look at safety, just cost benefit
• non-binding, just recommendations

Question 13

Review by provincial drug benefits/final formulary approval

Answer 13

Fair Pharmacare

Question 14

is monitoring drug safety systematic

Answer 14

no

Question 15

national forum on health recommendation differences with hall

Answer 15

• user charges only when consumer wants to have more expensive drug but same efficacy

Question 16

conference board report coverage options

Answer 16

universal
- comprehensiveness public coverage
- public coverage of essential medicines
- income based deductible public coverage

targeted public coverage
- individual mandate
- optional public coverage

Question 17

Bill C64

Answer 17

• 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

Question 18

Canada vs others on total per capita spending on prescription drugs

Answer 18

Higher, but Quebec is higher than Canada

Question 19

t or f most Canadians do not have insurance for prescription medicines

Answer 19

false

Question 20

true or false - income based Pharma plans do not involve paying premiums

Answer 20

true