Pharmacy funding framework

A new pharmacy funding framework came into effect May 17, 2018 saving Albertans money on out-of-pocket prescription costs. A summary fees table is provided below.

Pharmacy funding changes effective May 17, 2018

Pharmacy funding change Current fee Fee on May 17, 2018
The dispensing fee will be reduced. $12.30 $12.15
Reimbursement for daily dispensing and other frequent dispensing will be limited. No limits
  • Daily dispensing: 3 fees per day per patient
  • Other frequent dispensing (2–27 day supplies): 2 fees per drug per 28 days per patient
  • Opioid dependence treatments: No limits
Pharmacists with additional prescribing authority will no longer be paid more than pharmacists without that authority for providing a patient with a comprehensive annual care plan. Additional prescribing authority: $125 
– No additional prescribing authority: $100
All pharmacists: $100
Pharmacists with additional prescribing authority will no longer be paid more than pharmacists without that authority for providing a patient with a standard medication management assessment. Additional prescribing authority: $75
– No additional prescribing authority: $60
All pharmacists: $60
Pharmacists with additional prescribing authority will no longer be paid more than pharmacists without that authority for providing a patient with a comprehensive annual care plan follow-up or a standard medication management assessment follow-up. Additional prescribing authority: $25
– No additional prescribing authority: $20
All pharmacists: $20
The number of comprehensive annual care plan follow-ups and standard medication management assessment follow-ups will be capped. No limits 12 follow-ups annually per patient
A new service will be added – an assessment to ensure continuity of care in the event of a declaration of a state of emergency. New $20
The fee for administering a publicly funded vaccine will be reduced. $20 $13
New services will be added – pharmacists will have the authority to administer more publicly funded vaccines. New $13 – Phased in expansion planned
At least 10% of government funding to pharmacies will be withheld each quarter to be used to address any pharmacy compensation budget shortfall. That percentage can increase, if required, to meet budget targets. If expenditures are less than budget, the holdback funds will be redistributed to pharmacies. n/a April 1, 2019

Related