All claims for prescription drugs must first be submitted to a parent’s or spouse’s/employee plan or to RAMQ before being submitted to the student Health Plan. For all. The Régie de l'assurance maladie du Québec administers public health and drug insurance plans and pays health professionals. Please note that this list may be changed without notice and that certain plans may exclude other drugs that are not on this list. 1 800 561-9749 or visit the RAMQ website at www.ramq.gouv.qc.ca. Check out our advice on how to keep your drug costs down. RAMQ (provincial health insurance: Quebec Medicare) A private or public prescription drug plan. RAMQ’s drug list − minus. This number uniquely identifies all drug products in Canada. All Rights Reserved. "The exception drug status allows any individual to obtain coverage of certain drugs when used following the INESSS payment indications and that a payment authorization form if filled." External link. As of May 29, 2013. The List of Medications contains some exceptional medications for which coverage is provided under the basic plan only in the cases, on the conditions or for the therapeutic indications determined in the regulation of the Minister. RAMQ drug plan premiums going up as of July 1. The drugs covered over 7,000 drugs listed on the “List of Medications”, published periodically by the RAMQ. For drugs that are not covered by RAMQ and don't apply for Exception Drug Status, the prescribed who wishes to make a request to the RAMQ for an exception patient measure can click on the icon to be directed to the generic a authorization form. Subsequently, the reimbursement received via the student Health Plan corresponds to the difference between the price of the drug and the amount reimbursed by the former plan (private plan or RAMQ). The Prescription drug insurance plan (RGAM) provides that, pursuant to the Act, all Quebec residents have prescription drug coverage, whether public or private. as spousal insurance, that o˜ ers coverage of prescription drugs on the RAMQ list, you must enrol in that plan. As of July 12, 2013. One vision. From among the list of tables displayed, you can select the one that interests you. The List of Medications contains some exceptional medications for which coverage is provided under the basic plan only in the cases, on the conditions or for the therapeutic indications determined in the regulation of the Minister. 1 ) ~~)CANADA. The DBL is not intended to be, and must not be used as a diagnostic or prescribing tool. Drug coverage can vary by plan, home province and other factors. Health insurance number Help The series of 4 letters followed by 8 numbers appearing on the Health Insurance Card. 80% (or 100% once these annual eligible expenses, including eligible medical and paramedical expenses, exceed $2,000 per family in a benefit year)* Medical and paramedical expenses (including paramedical practitioners) 80% (or 100% once these annual eligible expenses, including the portion of any drugs paid by a For more information, please contact the Régie de l’assurance maladie du Québec (the Quebec health insurance board, or RAMQ). Log on the secure siteDownload our mobile app. With the consent of the patient, personal information was provided to the RAMQ and the researchers. Medicare (French: assurance-maladie) is an unofficial designation used to refer to the publicly funded, single-payer health care system of Canada.Canada's health care system consists of 13 provincial and territorial health insurance plans that provide universal health care coverage to Canadian citizens, permanent residents, and certain temporary residents. The RAMQ has a list of these drugs. Quebecers on the province’s public-health insurance plan can expect to be paying more come July 1. All claims for prescription drugs must first be submitted to a parent’s or spouse’s/employee plan or to RAMQ before being submitted to the student Health Plan. CANADA~ POSTfS (For list of drugs covered- Refer to page . In addition, DESJARDINS®, DESJARDINS INSURANCETM and related trademarks are trademarks of the Fédération des caisses Desjardins du Québec used under licence by Desjardins Financial Security Life Assurance Company. Social Sharing. Fair. All claims for prescription drugs must first be submitted to a parent’s, spouse’s, or employee plan or to RAMQ before being submitted to the student Health Plan. Also, some drugs are All claims for prescription drugs must first be submitted to a parent’s or spouse’s/employee plan or to RAMQ before being submitted to the student Health Plan. Everyone who is currently insured for prescription drugs on the RAMQ list under the AREF group insurance plan will receive a statement on their prescription drug contributions at the end of May. This is the price individuals pay for their medications. We will not reimburse the drugs or products listed below. PLAN MEMBER INFORMATION . Official AM.10 table (annual and quarterly) concerning final data on prescription drug in 2009, 2010 and 2011 in order to reflect changes in the list of drug. Why sign in to the Community? If you're covered under the Public Prescription Drug Insurance Plan: 1. Please enter one or many keywords to search, Accessing the Health is Cool 360° platform, Sign up for direct deposit or make changes, Order of claim submission when coordinating with another group plan. The guaranteed selling price is the All official tables (annual and quarterly) concerning final data on prescription drug insurance in 2012. As of July 12, 2013. Medical protocols and related prescriptions, Risques d’hospitalisation et projections des besoins hospitaliers, Alternatives de traitements en contexte de pandémie, Études cliniques en cours - Prophylaxie et traitement, Physical and intellectual disabilities and Autism Spectrum Disorder (ASD), Drug products undergoing evaluation and evaluated, Drug products waiting for Notice of Compliance, Evaluation of Requests for Exemption from the Lowest Price Method (LPM), Mandatory advance notice from manufacturers, Sign up for electronic submission of a registration application (Checklist 6), Electronic submission of a registration application (Checklist 6), Temporary electronic submission of registration applications (other checklists), Frequently Asked Questions About Prescription Medications, Quality Indicators: Managing Chronic Diseases­. Inclusion of a drug on the DBL does not mean or imply that the drug is fit or effective Currently, in the province of Québec, when a plan member purchases a drug listed under the RAMQ drug list, Sun Life is required to reimburse a minimum of 66% of the submitted price of the purchased drug, up to the RAMQ annual out of pocket (OOP) limit, followed by 100% reimbursement. Quebec - RAMQ List of Medications Effective February 5, 2020, the following products will be included in the RAMQ List of Medications. You can check your drug coverage at any time using the drug cost simulator. For more information and to see the list update schedule, please visit the RAMQ website. Billing Montréal Billing At The Pharmacy Montréal Change Of Insurance Plans Montréal Chewing Gum Montréal Co-insurance Montréal Cost Of Prescription Drugs Montréal Coverage Of Healthcare Costs Montréal Coverage Of Stop-smoking Products Montréal Doctor Montréal All claims for oral contraceptives and antidepressants must first be submitted to a parent’s or spouse’s/employee plan or to RAMQ before being submitted to the student Health Plan. Prior Authorization Drug Program RP_priorauthorizationdruglist_1120_e * Residents of Quebec do not require prior authorization for this drug due to RAMQ legislation The following listed drugs require approval for reimbursement. The Régie de l'assurance maladie du Québec administers public health and drug insurance plans and pays health professionals. Access to the content of tables: The qualitative parameters allow you to access information about the cost and number of medical or other services appearing in the tables. If you are not covered by a private prescription insurance plan, you must be covered by the public prescription drug insurance plan, administered by the Régie de l’assurance maladie du Québec (RAMQ, or Régie). However, if the plan reimburses the RAMQ co-payments paid by employees who are age 65 or over and are covered by RAMQ, plan sponsors could expect an average increase in drug … Some services aren’t covered at all, while others are covered only partially. If you would like more information about the public prescription drug insurance plan, see Prescription drug insurance on the RAMQ website or the instructions for line 447 in the guide to the income tax return (TP-1.G-V). Consult your insurance booklet for more information. This is what is referred to as basic coverage. In this document, “private plan” means “private group insurance plan.” 6 IMPORTANT This brochure contains tax information regarding the public prescription drug insur- ance plan. for the list of Prior Authorization drugs which are indicated in . Follow the highlights of RAMQ’s history, from November 1970 to today. The Régie de l’assurance maladie du Québec (RAMQ) released its October update of the List of Medications on October 18, 2017, effective immediately. Of 4656 eligible patients, 3567 (76.6%) consented to participate, of whom 2060 (57.8%) were men, and the mean (SD) age was 69.8 (14.9) years (Table 1, Figure). This is the price individuals pay for their medications. In order for your e xcept1on to be cons1dered you must have prev1ou,ly tned a covered drug for your med1cal cond1t100 and People Who Have Access to Drug Insurance In Quebec, everyone must be covered by drug insurance, either through the public plan or a private plan. a) drugs that ar e on the List of Insured Drugs that is published by the Régie de l'assurance - maladie du Québec (RAMQ List), provided such drugs are on the list at the time the expense is incurred; and b) drugs that are listed as a covered expense in the Policy but are not o n the RAMQ List. Non-RAMQ drugs 50% Emergency care and travel assistance outside your province of residence 100% : Page 4 of 32 Hospital care (semiprivate room in a public general hospital or a licensed convalescent hospital) 100% . For previous versions of the list, see the register below. Our vision and values guide us as we carry out our role. Fédération des caisses Desjardins du Québec, Check out our advice on how to keep your drug costs down. Find out more about RAMQ through its mission, services, values, services and publications. Privately insured patients. Online services. This link will open in a new window. Most people are aware of the basic coverage provided, such as doctors’ visits and emergency health care, but what about other medical costs? With the inclusion of our TH on RAMQ's List of Medications, we are able to access a large group of children and adult patients suffering from debilitating forms of joint disease, who previously could not get the product due to a long-standing shortage of TH in Canada. Excluded drugs and other limitations or exclusions. Also included on the receipts are: DIN: Refers to the Drug Identification Number. Quebec residents are eligible for a 100% reimbursement for qualifying prescription drugs. The exceptional medications measure strives to fulfill the following goals: See appendix IV of the List of Medications and indications recognized for payment. If you are not covered by a private prescription insurance plan, you must be covered by the public prescription drug insurance plan, administered by the Régie de l’assurance maladie du Québec (RAMQ or Régie). Print; Share. Consult your insurance booklet for more information. Drugs Funded by Ontario Drug Benefit (ODB) Program E-Formulary. These conditions may vary depending on whether coverage is provided by the Régie de l'assurance maladie du Québec (RAMQ) or under a group insurance or an employee benefit plan. New situation RGAM Price: it is equal to the price payable by the RAMQ for the drugs included on the RAMQ list and does not include professional fees and applies only to the cost of the medication and the amount paid to the distributor. Desjardins Insurance refers to Desjardins Financial Security Life Assurance Company. Brand name of the drug: Apo-cetirizine; List of all active ingredients in a combination product: 28:08.08 Acetaminophen, caffeine, codeine phosphate; Strengths of active ingredients in a combination product, listed in the same order as the ingredients: 300 mg and 15 … Subsequently, the reimbursement received via the student Health Plan corresponds to the difference between the price of the drug and the amount reimbursed by the former plan (private plan or RAMQ). 1-866-716-1313. The List of Medications contains some exceptional medications for which coverage is provided under the basic plan only in the cases, on the conditions or for the therapeutic indications determined in the regulation of the Minister. Despite popular belief, the Régie de l’assurance maladie du Québec (RAMQ) does not cover all health care services. The List of medications constitutes a regulatory list of the medications covered by Québec’s basic prescription drug insurance plan. Consult your insurance booklet for more information. In contrast, many FDC products are non-benefit (NB) drugs. Exceptionally, a drug may be covered even if it not included on the list. bold italics. The simulator also takes into account any cost-control measures that may have been built into your plan. Excluded drugs and products. Authentication. The RAMQ provided a list of eligible patients to each physician and a total count of patients per practice to the investigators. Submit a question; Check your notifications; Sign in to the Community or Sign in to … A student health plan isn’t considered a private or public drug plan. © 2020 Desjardins Financial Security. Product Pack Size DIN UPC 771313- Apo-Code Brand Reference Apo-Amphetamine XR 5 mg Caps 100 BTL 02445492 204071 55644 Adderall XR Apo-Amphetamine XR 10 mg Caps 02445506 204088 55645 RAMQ. Please note that this list may be changed without notice and that certain plans may exclude other drugs that are not on this list. With the inclusion of our TH on RAMQ’s List of Medications, we are able to access a large group of children and adult patients suffering from debilitating forms of joint disease, who previously could not get the product due to a long-standing shortage of TH in Canada. Drug name (active ingredient) Balversa (edafitinib) Bavencio (avelumab) Berinert (C1 esterase inhibitor) Besponsa (inotuzumab ozogamicin) Alberta Drug Benefit List (ADBL) Special Authorization: ... Quebec (RAMQ*) Exceptional Medication: For the treatment of type-2 diabetic persons, in association with metformin, where a sulfonylurea is contraindicated, not tolerated or ineffective. If you don’t have access to a private employee drug plan (through your job or your parent’s or spouse’s job), you must register with the RAMQ Drug Plan. Access the payment request form. Search and access the medication card that you want to prescribe. excluded from our plans or o r call Great -West Life at . Validation of your situation respecting prescription drug insurance. Quebec residents can be covered for up to 100% of eligible prescription drug costs by combining their private/RAMQ drug coverage and their student Health Plan. RAMQ 'highly discouraged' offer of high-dose flu vaccine to seniors, pharmacists say. Concrete actions. Personal identification number Help The series of 14 numbers indicated on the letter received. when obtaining insured drugs (RAMQ, 2012a). The contribution of patients covered under a private plan is set by the insurer, based on the patient’s coverage plan. You may be trying to access this site from a secured browser on the server. Randomization and blinding. Coverage is available through RAMQ’s Public Prescription Drug Insurance Plan.Alternatively, prescription drug coverage may also be obtained through private plans such as group insurance plans or employee benefit plans. This information requires knowledgeable interpretation and is intended primarily for professional health care practitioners, pharmacies, hospitals and organizations associated with the manufacture, distribution and use of pharmaceutical preparations. For the public plan to cover only the cost of exceptional medications if they are used for therapeutic indications recognized by INESSS. Effective July 1, 2005 Again, if you are a resident of Quebec and participate in the RAMQ Drug Program, the annual premium increased from $494 to $521, and the monthly deductible increased from $10.25 to $11.90. Bloomberg the Company & Its Products The Company & its Products Bloomberg Terminal Demo Request Bloomberg Anywhere Remote Login Bloomberg Anywhere Login Bloomberg Customer Support Customer Support For the cost of drug products on the “exceptional medications” list to be covered, in the following exceptional circumstances: When a drug product is considered effective for limited indications, since its effectiveness or the cost of treatment cannot justify its regular and continued use for other indications; When a drug product does not provide a therapeutic advantage that would justify its higher cost compared to other products on the list that possess the same pharmacotherapeutic properties, but when those drugs are not tolerated, are contra-indicated or have been rendered ineffective for a patient’s clinical condition.