Top Banner
Pierre has been taking the same drug on a daily basis for a few years. Meet Pierre.
10

Pierre's Story

Feb 16, 2017

Download

Healthcare

Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: Pierre's Story

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

Meet Pierre.

Page 2: Pierre's Story

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: Pierre's Story

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

Generic Substitution

Page 4: Pierre's Story

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: Pierre's Story

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: Pierre's Story

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: Pierre's Story

A big change

Now, members like Pierre face a choice

Page 8: Pierre's Story

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: Pierre's Story

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: Pierre's Story

So the question does not arise anymore

Pierre chose the generic!