Provincial Pharmacy Laws - Lecture Notes Review

These flashcards cover key concepts and details from the lecture on provincial pharmacy laws, focusing on drug benefits, eligibility for programs, and operational regulations in Ontario.

What does the Regulated Health Professions Act (RHPA) regulate?

It regulates various health professions including pharmacy.

What is the Ontario Drug Benefit Act (ODB)?

It is a program providing prescription drug coverage to eligible Ontarians.

What criteria must be met for enrollment in the Trillium Drug Program (TDP)?

Ontario residents must have high drug costs relative to their net household income.

When does Ontario Drug Benefit coverage start for seniors?

Coverage starts on the 1st of the month following their 65th birthday.

What is required for ODB approvals for 'No Substitution'?

The physician must document adverse reactions to at least 2 generics and write 'No Sub' on the prescription.

What is the maximum dispensing fee for community pharmacies under ODB?

The base dispensing fee is typically $8.83, and it may vary depending on pharmacy distance.

What is the purpose of the MedsCheck Program?

It aims to optimize patient outcomes through medication reviews and follow-ups.

What is a Limited Use (LU) product in the context of Ontario medications?

A product that requires specific criteria for reimbursement due to cost or clinical evidence.

How does the Trillium Program determine the cost-sharing amount?

It is based on household income and designed to spread drug costs quarterly.

What happens if a patient requests a prescription refill before the designated period?

Claims submitted too early may get a 'refill too soon' warning but can be authorized with professional judgment.