This tool provides information on the design, payment structures and formularies of public drug programs in Canada. It enables comparable analysis of federal, provincial and territorial drug programs and coverage. These programs either pay the cost of approved prescription drugs or reimburse a portion of the cost that the patient has paid. Each jurisdiction’s program may cover different drugs and vary in eligibility criteria, fee structures and processes.
Data from CIHI’s National Prescription Drug Utilization Information System (NPDUIS) is used to populate this tool. NPDUIS houses pan-Canadian claims-level data on prescription drugs, as well as information on drug programs and formularies for all jurisdictions in Canada.
Future updates to this tool will include analyses related to public drug program spending and use.
Drug programs
An overview of public drug programs in Canada, including who qualifies for coverage and what is covered.
Formulary coverage
A list of the drugs and products that are covered by public drug programs in Canada.
Reimbursement policies
The conditions that determine how drug and product costs are reimbursed.
Markup policies
Guidelines for the amount pharmacies can add to the cost of a drug or ingredient.
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