{"id":16780,"date":"2019-09-11T01:06:18","date_gmt":"2019-09-11T05:06:18","guid":{"rendered":"https:\/\/lifeinsurance-orleans.ca\/Life-Insurance-Blog\/public-drug-plan-expenditures-in-canada-up-by-2-bn-in-3-years-says-pmprb\/"},"modified":"2019-09-11T01:06:18","modified_gmt":"2019-09-11T05:06:18","slug":"public-drug-plan-expenditures-in-canada-up-by-2-bn-in-3-years-says-pmprb","status":"publish","type":"post","link":"https:\/\/blog.lifeinsurance-orleans.ca\/index.php\/2019\/09\/11\/public-drug-plan-expenditures-in-canada-up-by-2-bn-in-3-years-says-pmprb\/","title":{"rendered":"Public drug plan expenditures in Canada up by $2 bn in 3 years, says PMPRB"},"content":{"rendered":"\n<div><img decoding=\"async\" src=\"https:\/\/ca.res.keymedia.com\/files\/image\/iStock-pharm-medications-183369961.jpg\" class=\"ff-og-image-inserted\"><\/div>\n<p>Prescription drug expenditures by Canadian public drug plans increased by 7.4% to reach $11.4 billion in 2017-2018, the Patented Medicine Prices Review Board (PMPRB) said in a new report.<\/p>\n<p>According to the board\u2019s <em>CompassRx, 5th edition: Annual Public Drug Plan Expenditure Report<\/em>, that increase follows the modest 1.9% growth rate in 2016-2017 and the substantial double-digit increase observed the year before. Between the 2014-2015 and the 2017-2018 fiscal years, the total prescription-drug expenditure for Canada\u2019s public drug plans rose by $2 billion, reflecting a compound annual growth rate of 6.6%.<\/p>\n<p>The acceleration in expenditures for the public plans last year was primarily driven by a rise in the use of higher-cost drugs: drug costs rose by 8.3% over the previous fiscal year, and expenditures on drugs that exceed $10,000 in annual treatment costs surged by 19.3%. Such high-cost drugs were used by less than 2% of public drug plan beneficiaries, and accounted for over 30% of the total drug costs in 2017-2018.<\/p>\n<p>Increased use of higher-cost medicines, along with renewed pressure from direct-acting antiviral (DAA) drugs for hepatitis C, accounted for a 7.1% rise in drug costs during 2017-2018.<\/p>\n<p>Changes to plan designs also contributed to the growth in expenditures. Notably, the rollout of the OHIP+ program in the last quarter of 2017\/2018 reportedly accounted for a 2.5% increase in total prescription-drug expenditures for Ontario, representing a 1.4% increase for all National Prescription Drug Utilization Information System (NPDUIS) public drug plans for the entire fiscal year. &nbsp;Absent the OHIP+ program, the total drug cost growth in all NPDUIS programs would have been 6.8% rather than 8.3%.<\/p>\n<p>Generic and biosimilar substitution efforts produced limited savings. The impact of savings from price reductions and generic and biosimilar substitution reportedly underwent a steady decline from -9.2% in 2012-2013 to -2.4% in 2017-2018.<\/p>\n<p>The report also showed a modest increase of 3.8% in dispensing costs in 2017-2018, equating to $86.1 million. It closely mirrored the growth rate observed two years before; once again, the report noted that Ontario\u2019s OHIP+ program was a significant contributor, pushing dispensing costs upward by 1.3% ($28.8 million) overall.<\/p>\n<p>Demographic effects added just 1.4% to the growth in dispensing costs in 2017-2018, while the prescription-size effect exerted a more significant impact, pushing overall dispensing costs up by 2.5%. That was offset somewhat by changes in the average dispensing fee per prescription, which pulled down dispensing costs by 0.5% due mainly to a -6.9% revision in dispensing costs in Manitoba.<\/p>\n<p> <a href=\"https:\/\/www.lifehealthpro.ca\/news\/public-drug-plan-expenditures-in-canada-up-by-2-bn-in-3-years-says-pmprb-303931.aspx\">Read the original article at https:\/\/www.lifehealthpro.ca\/rss\/ <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Prescription drug expenditures by Canadian public drug plans increased by 7.4% to reach $11.4 billion in 2017-2018, the Patented Medicine Prices Review Board (PMPRB) said in a new report. According to the board\u2019s CompassRx,&#46;&#46;&#46;<\/p>\n","protected":false},"author":578,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[],"tags":[],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/blog.lifeinsurance-orleans.ca\/index.php\/wp-json\/wp\/v2\/posts\/16780"}],"collection":[{"href":"https:\/\/blog.lifeinsurance-orleans.ca\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.lifeinsurance-orleans.ca\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.lifeinsurance-orleans.ca\/index.php\/wp-json\/wp\/v2\/users\/578"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.lifeinsurance-orleans.ca\/index.php\/wp-json\/wp\/v2\/comments?post=16780"}],"version-history":[{"count":0,"href":"https:\/\/blog.lifeinsurance-orleans.ca\/index.php\/wp-json\/wp\/v2\/posts\/16780\/revisions"}],"wp:attachment":[{"href":"https:\/\/blog.lifeinsurance-orleans.ca\/index.php\/wp-json\/wp\/v2\/media?parent=16780"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.lifeinsurance-orleans.ca\/index.php\/wp-json\/wp\/v2\/categories?post=16780"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.lifeinsurance-orleans.ca\/index.php\/wp-json\/wp\/v2\/tags?post=16780"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}