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ODB Formulary/Comparative Drug Index
a list of drug products available to eligible recipients
1st indroduced in 1976 outlining benefits provided to eligible recipients
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How many drugs are listed in the ODB formulary/CDI?
ODB provides coverage for over 3,800 drug products
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Who is eligible for ODB coverage?
Ontario Residents over 65 years old
Home care patients
LTC residents
homes for special care residents
patients eligible for Trillium program
patients recieving social assistance (OW, ODSP)
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Criteria for eligible recipients of ODB
seniors qualify for coverage on 1st day of month following their 65th birthday
people without OHIP coverage are not entitled to ODB
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General Welfare Assistance
(monthly paper cards)
D, K, L, N, M, R, S, W, Y, Z
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Family Benefits Assistance
(monthly paper cards)
C - includes all family members
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Home Care benefits
(monthly paper cards)
P
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Extended Care & Rehabilitation Assistance
(monthly paper cards)
E
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Disability Assistance
(monthly paper cards)
D
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What is the maximun number of days supply can an OW patient get?
35 days supply
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How many days supply can seniors get who are covered by ODB?
100 days supply, and a second 100 days supply may be refilled ealy for a vacation supply
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New prescriptions for seniors are only allowed a certain days supply, how many days?
30 day trial supply
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How many days supply do Home Care patients recieve?
Their period of coverage is stated on the card.
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Trillium Drug Program is made for Ontario residents who:
- are unable to afford their meds
- have low income
- have no coverage
- are self employed
- are faced with large drug expenses relative to their incomes
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How is Trillium Drug Program paid?
Paid in 4 equal installments from Aug 1 - July 31 each year
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How much is the deductible for the Trillium Drug Program?
deductible is 4% of net income, once the deductible is reached each Rx is $2.00
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Who can prescribe ODB prescriptions?
physicians, podiatrists, and nurse practitioners
they are issued an ID ref and ID # (5 digit CPSO #)
CPSO - 01 / Dental Surgeons - 02
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the ODB Formulary serves as a guide for who?
physicians, pharmacists, professional committees in hospitals and institutions
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What compares prices of drugs products?
ODB Formulary
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What confirms products deemed as interchangeable?
ODB Formulary
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How are drugs listed in the ODB Formulary?
drugs are listed by classification based on American Hospital Formulary Service of the American Society of Hospital Pharmacists
listed alphabetically by generic name within therapeutic class
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How are drugs approved?
- drug submitted to Health Products and Food Branch (HPFB)
- HPFB evaluates product for safety and efficacy based on research and lab studies (fed review can take 1-2 days)
- once approved for sale in Canada, a Notice of Compliance and DIN is issued
- manufacturer submits to the national Common Drug Review (CDR) process
- CDR reviews and provides common listing recommendations for new drugs based on clinical and pharmacoeconomic reviews to drug benefit plans in Canada (all provinces participate except PQ)
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How do drugs become listed in ODB Formulary?
drug manufacturers complete submission to Drug Programs branch for review by CEDAC & CED
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what does CEDAC stand for?
Canadian Expert Drug Advisory Committee
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What does CED stand for?
Committee to Evaluate Drugs
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When was CED was established?
1968
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Who appoints members to CED?
members are appointed by Order-In-Council
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Who is CED accountable to?
Minister of Health and LTC
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How many members are in CED and what are the members experts of?
12 members in CED who include experts in medicine, pharmacology, health economics, and evaluation of the interchangeability of generic products
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What is CED's mandate? (there are 4)
- advise on pharmacoeconomic evaluations of drug products
- monitor and evaluate current drug listings under ODB
- evaluate specific pharmaceutical and therapeutic questions
- educate about publicy funded drug and related issues
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What are the 6 key roles of CED?
- assess drug products for gov't funding
- assess therapeutic value of drugs
- evaluate product interchangeability
- evaluate value for money of drugs
- provide directions in management of ODB
- manages section 8 mechanism
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