12/21/2023 0 Comments Triumeq copay card 2018![]() ![]() To illustrate the financial burden that people living with HIV in Canada encounter in trying to obtain their HIV medication, we used 2 clinical scenarios to estimate the potential annual out-of-pocket expenditures when patients are prescribed HIV medication in each jurisdiction. 2 Our primary objective was to describe and compare the reimbursement policy of all Canadian public drug insurance programs for antiretroviral drugs. 16, 17 Because viral suppression prevents infection at the individual level 5, 16 – 18 and may be effective in reducing transmission at the population level, 19 – 21 consideration should be given to providing affordable and accessible antiretroviral therapy for all this has been highlighted as a fundamental component of a public response to the HIV epidemic. 12, 13 Nonadherence to antiretroviral therapy can lead to uncontrolled HIV replication and subsequently to increased risks of disease progression, 14 drug resistance 15 and HIV transmission. 10, 11 Accordingly, it may be important to address cost-sharing mechanisms that require large out-of-pocket payments for antiretrovirals, particularly for people without drug insurance and those with more limited income. 10 Research indicates that medicine costs sometimes compete with other demands, leading to cost-related nonadherence: patients may forego prescribed medications in favour of spending their resources on other priorities or they may alter a medication’s dosing to make a prescription last longer. 7 – 9įinancial burdens are associated with medication nonadherence. Consequently, Canadians with identical prescriptions may pay substantially different amounts and may rely on private insurance, public funders, out-of-pocket payments or a combination of these to pay for their medication. Each plan decides on the eligibility criteria for public drug insurance and the level of subsidy and selects the products to be listed on its drug formulary. In the absence of a single national plan, each of Canada’s 10 provinces and 3 territorial governments manages and delivers health care services for its residents, including medication coverage (several federal plans insure specific populations). 1 – 5 However, in Canada, the list price for firstline single-tablet regimens is approximately $15 000 per year, 6 and none of Canada’s publicly funded drug plans provide universal coverage of all prescription drugs. ![]() International guidelines recommend that combination antiretroviral therapy for people living with human immunodeficiency virus (HIV) infection be initiated promptly after diagnosis and continued for life to decrease morbidity, mortality and the risk of transmission to uninfected people. ![]()
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