Pharm 100: PPHC Lectures 7 and 8 Questions With
Complete Solutions
Are formularies that same in each province and territory?
Correct Answers No. Each has their own formulary and the lists
can vary (although often many similarities)
Can drugs be in the LCA program and the RDP? What would a
pharmacist do in the case of this? Correct Answers Yes. Some
of them.
Pharmacist would usually dispense the generic version of an
RDP product (according to the LCA rules)
Describe the Reference Drug Program (RDP):
1. When was it implemented?
2. What is it/how does it work?
3. How do you get coverage for a non-RDP drug? Correct
Answers 1. in 1995 (updated in 2016)
2. Medicines are grouped into drug families for coverage, in
which one drug is appointed the "reference drug (RD)" and is
the one covered under Pharmacare. Note that active ingredients
are not always identical, but there would be no evidence that one
is more effective than the others.
3. Prescribers must submit for special authority to have coverage
of the non-RD (usually due to interactions, intolerance and
previous treatment failure)
, How are hospital formularies (drug supplied by a hospital)
determined? Correct Answers Mirrors the process of provincial
formularies, they make their own decisions regarding formulary
additions
How are provincial formularies (publicly funded drug plan
items) determined? Correct Answers The CDR evaluates and
makes recommendations from which individual provincial
formularies complete their own assessment and make a listing
status decision
How does coverage for a special authority (SA) drug work under
PharmaCare? Correct Answers Based on the usual PharmaCare
plan rules (i.e. deductible/maximum)
How does Pharmacare Coverage work if someone has a private
insurance plan? Correct Answers If the patient has a private
plan, the private plan pays the specified % until the deductible is
reached. Then, Pharmacare will cover 70% until the maximum
(remaining 30% is paid for by the private plan and patient
depending on division of costs specified by the private plan)
How is Pharmacare coverage determined? Correct Answers It
is income-based. Residents need to register and prove their
income (tax statements). Income can vary the maximum that you
have to pay.
Income can be individual household income or family household
income (i.e. kids are covered under parental coverage until they
age out)
Complete Solutions
Are formularies that same in each province and territory?
Correct Answers No. Each has their own formulary and the lists
can vary (although often many similarities)
Can drugs be in the LCA program and the RDP? What would a
pharmacist do in the case of this? Correct Answers Yes. Some
of them.
Pharmacist would usually dispense the generic version of an
RDP product (according to the LCA rules)
Describe the Reference Drug Program (RDP):
1. When was it implemented?
2. What is it/how does it work?
3. How do you get coverage for a non-RDP drug? Correct
Answers 1. in 1995 (updated in 2016)
2. Medicines are grouped into drug families for coverage, in
which one drug is appointed the "reference drug (RD)" and is
the one covered under Pharmacare. Note that active ingredients
are not always identical, but there would be no evidence that one
is more effective than the others.
3. Prescribers must submit for special authority to have coverage
of the non-RD (usually due to interactions, intolerance and
previous treatment failure)
, How are hospital formularies (drug supplied by a hospital)
determined? Correct Answers Mirrors the process of provincial
formularies, they make their own decisions regarding formulary
additions
How are provincial formularies (publicly funded drug plan
items) determined? Correct Answers The CDR evaluates and
makes recommendations from which individual provincial
formularies complete their own assessment and make a listing
status decision
How does coverage for a special authority (SA) drug work under
PharmaCare? Correct Answers Based on the usual PharmaCare
plan rules (i.e. deductible/maximum)
How does Pharmacare Coverage work if someone has a private
insurance plan? Correct Answers If the patient has a private
plan, the private plan pays the specified % until the deductible is
reached. Then, Pharmacare will cover 70% until the maximum
(remaining 30% is paid for by the private plan and patient
depending on division of costs specified by the private plan)
How is Pharmacare coverage determined? Correct Answers It
is income-based. Residents need to register and prove their
income (tax statements). Income can vary the maximum that you
have to pay.
Income can be individual household income or family household
income (i.e. kids are covered under parental coverage until they
age out)
