November 18, 2019
Your pay-direct benefits card makes it easy and convenient when filling a prescription. Your drug claim gets processed right at the pharmacist’s counter and instantly you are told the amount paid by your plan and any amount owing. How did the pharmacy determine this amount for your drugs? Why is it important to have limits on pharmacy mark-ups and dispensing fees?
As per your benefits booklet, the OSSTF ELHT Benefits Plan includes mandatory generic substitution and limits on dispensing fees and mark-ups to help manage the costs associated with prescription drugs.
There is no limit to what a pharmacy can charge for a prescription. Pharmacists can charge any mark-up or dispensing fee that is considered standard for their store or company.
|Drug Ingredient Cost||+||Pharmacy Mark-up||+||Dispensing Fee||=||Total Cost of the Prescription|
Although costs vary depending on where you shop, three factors determine the price of prescription drugs:
NOTE: In the province of Quebec, pharmacists are not required to provide a breakdown of the drug cost, mark-up and dispensing fee.
The OSSTF ELHT Benefits Plan includes the following limits on drug mark-ups and dispensing fees:
To keep drug costs down for you and your plan, here are some cost-savings ideas:
Learn more about dispensing fees and how to save money on your prescriptions.
Questions about your OSSTF Benefits drug coverage? You can contact OTIP Benefits Services at 1-866-783-6847.
The information in this document is provided by OSSTF Benefits for general information only. OSSTF Benefits endeavours to have all information current and accurate. We make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, or suitability of the information included. All information is subject to change without notice.
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