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Guide to Bill 28

Date post: 16-Feb-2017
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Pierre has been taking the same drug on a daily basis for a few years. Meet Pierre.
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Page 1: Guide to Bill 28

Pierre has been taking the samedrug on a daily basis for a few years.

Meet Pierre.

Page 2: Guide to Bill 28

Although a generic version of the brand drug Pierre takes daily came out several years ago, Pierre said why not, and decided to continue with the brand, as it offered the same co-pay as the generic.

Why not?

Page 3: Guide to Bill 28

In 2013, like other organisations, Pierre’s employer put in place Generic Substitution.

Generic Substitution

Page 4: Guide to Bill 28

But Quebec regulations meant that he was still reimbursed for 66% of the drug’s cost, instead of his regular co-pay.

Additional costs

His employer had to pay the difference.

Page 5: Guide to Bill 28

But Pierre figured why not, even though choosing the generic drug would provide his plan with substantial savings and he had heard that the generic was just as effective as the brand.

Still… why not?

Page 6: Guide to Bill 28

Lost savings

Over the years, choosing the brand over the generic has cost Pierre and his plan hundreds of dollars for essentially the exact same medication.

Page 7: Guide to Bill 28

A big change

Beginning October 1, 2015, plan memberslike Pierre face a new choice.

Page 8: Guide to Bill 28

True costs are now apparent

The elimination of the 66% rule means that Pierre will only be reimbursed for the cost of the generic, even if he sticks with the brand.

Page 9: Guide to Bill 28

Pierre used to askwhy not continue using the brand?

But the generic option:• Will cost him less out-of-pocket• Offers the same health impacts

Page 10: Guide to Bill 28

So the question does not arise anymore

Pierre chose the generic!


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