Drugs which are prescribed by a physician or dentist and included in an official drug list established by the provincial government.
Residents are required to pay 28% co-insurance and a $100 annual deductible up to a maximum out-of-pocket expense of $839 per adult annually. Dependent children are not subject to the co-insurance or deductible.
Deterrent Fees:
Residents may be required to pay a deterrent fee if the cost of a prescribed drug is higher than the median price payable by the Province, and the resident refuses to accept a substituted identical medication which costs the same or less than the median price.
The deterrent fee will not exceed the difference between the amount
chargeable for the drug furnished and the median price assumed
by the Province.
No deterrent fee is payable where:
- the physician or dentist states on the prescription that no substitution is to be made
- there is no median price listed on the Drug List
- the drug appears as an appendix to the list as a drug to which the median price method does not apply for therapeutic reasons
- the pharmacist furnishes drugs from a Quebec supplier where:
- the cost of the drug exceeds the median price by no more than 10% for all drugs with the same content as the prescribed drug
- the number of drug products from Quebec suppliers for the prescribed drug is less than half of the drugs the cost of which is equal to or less than the median price assumed on the drug list
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