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  1. Find out whether a drug is covered. Over 8,000 prescription drugs are covered under the Public Prescription Drug Insurance Plan. They are included on a regularly updated list. Other drugs not on the list may also be covered on an exceptional basis.

  2. The public plan covers over 8,000 prescription drugs. The drugs and the conditions of coverage are set out in the List of Medications, a drug formulary which is regularly updated. Understand my pharmacy invoice; Find out whether a drug is covered; Request a reimbursement for covered drugs; Conditions for coverage; Amount to be paid for ...

    • Conditions For The Coverage of Prescription Drugs
    • Coverage of Generic Drugs
    • Coverage of Biosimilar Drugs
    • Copay Cards

    Generally, the public plan covers the prescription drugs: 1. Specified on the List of Medications 2. Prescribed by health professionals 3. Purchased in Québecfrom a pharmacist 4. Sold at the lowest price (coverage of the less expensive generic versions instead of the brand name drugs, for example) When you purchase prescription drugs that are cover...

    The public plan covers generics rather than their brand name version if the former is less costly. Please note that you will have to pay the difference between the priceof a brand name drug and an equivalent generic if you purchase the brand name drug. Certain exceptions apply.

    Biologic drugs are drugs produced from living cells and patented by pharmaceutical companies. BiosimilarsThis link will open in a new window. are very similar copies of biologic drugs, which cost less. When biosimilars are marketed, the brand name biologic drug to which it is compared is called the reference biologic drug. The public plan covers bi...

    Since April 15, 2021, manufacturers, wholesalers and intermediaries have been prohibited from paying pay you, even partially, for a supply or drug covered under the Public Prescription Drug Insurance Plan or a private plan. This prohibition applies to any form of financial assistance: copay cards, reductions, reimbursements, free doses, etc.

  3. Nov 1, 2023 · For example: If your plan covers prescription drugs up to 70%, you will pay the remaining 30% out-of-pocket. That means a $10 prescription will cost you $3, while your insurance will cover $7 – as long as you haven’t exceeded your annual plan maximum, of course. While government healthcare covers medication you need when you’re in ...

  4. Dec 3, 2020 · Prescription drug insurance coverage. Under the Canada Health Act, prescription drugs administered in Canadian hospitals are provided at no cost to the patient. Outside of the hospital setting, provincial and territorial governments are responsible for the administration of their own publicly-funded drug plans. The public drug plans determine ...

  5. Québec, PQ G1K 7T3. In Québec City, phone: (418) 646-4636. In Montréal, phone: (514) 864-3411. All other areas of the province, call toll-free: (800) 561-9749. Quebec. Last updated: April 2022. Learn about Quebec's provincial health plan coverage and discover options to fill any gaps.

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  7. Jul 25, 2019 · It is in Quebec that we now find the most generous coverage when comparing provincial public drug plans across the country. Whereas on average 25.6 percent of all medicines approved by Health Canada between 2008 and 2017 were listed on the drug formularies of other provincial public plans in June 2018, this proportion reached 33.4 percent in Quebec.

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