PHRM 100 Lecture Notes - Lecture 7: Inflammatory Arthritis, Etanercept, Adalimumab
Document Summary
Formulary: a list of prescription drugs covered by a health insurance plan. Stage 1 & stage 2 (national: notice of compliance (tdp): safety, efficacy, quality, common drug review (cadth) how new drug is better than what we already have (icer, pcpa negotiation. Stage 3 (provincial) pharmacare drug review: gather information and input (budget impact, review by drug benefit council (dbc) (sub-committee: drug review resource. Committee: final decision (minister of health) based on cdr & dbc recommendations. Formulary coverage starts from sponsor of drug (biased?) Regular benefit: fully covered (all beneficiaries subject to rules and deductibles) Reference drug: cheapest drug out of the same family (full cost covered) Special authority can be applied to give non-rd drug (submitted to ministry)
