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Table 1 – Provincial Drug Coverage Programs for General Population (non-senior and non-social assistance)

From: Prescription drug coverage in Canada: a review of the economic, policy and political considerations for universal pharmacare

 

Patient Eligibility

Coverage Details

British Columbia

No restrictions

Catastrophic coverage with deductibles up to 3% of annual income, then patient pays 30% co-insurance.

Alberta

No restrictions

Voluntary coverage with premiums, then patient pays 30% co-insurance.

Saskatchewan

No restrictions

Catastrophic coverage with deductibles at 3.4% annual income, then patient pays 35% co-insurance.

Manitoba

No restrictions

Catastrophic coverage with deductibles up to 6.97% annual income, then full coverage of eligible drugs.

Ontario

No restrictions

Catastrophic coverage with deductibles at approximately 4% of annual income, then patient pays $2 fixed co-payment.

Quebec

Restricted to those not eligible for private insurance

Mandatory coverage with premiums and a $19.90 monthly deductible, then patient pays 34.9% co-insurance.

Newfoundland

No restrictions

Catastrophic coverage with out-of-pocket payments ranging from 5 to 10% of income

Nova Scotia

No restrictions

Catastrophic coverage with deductibles up to 20% of annual income, then patient pays 20% co-insurance.

New Brunswick

No restrictions

Voluntary coverage with premiums, then co-payments of $5 to $30 per eligible prescription, depending on income.

Prince Edward Island

No restrictions

Catastrophic coverage with deductibles up to 12% of annual income, then full coverage of eligible drugs.

  1. Source [93]: Authors summary of information in CIHI (1028) National Prescription Drug Utilization Information System Plan Information Document, July 2018 supplemented by information from public drug plan websites, where necessary