Hepatitis C: An In-Depth Guide

Québec

Prescription Drug Programs in Québec

General information on drug coverage and benefit programs offered by the provincial, territorial and federal governments can be found here.

Coverage for Hepatitis C Medications

In Québec, the Public Prescription Drug Insurance Plan is the government insurance plan that offers basic prescription drug coverage to all Québecers who have no access to private group insurance.  The Public Prescription Drug Insurance Plan, often called the Public Plan, is administered by the Régie de l’assurance maladie du Québec (RAMQ). To register for the Public Plan people must have a Québec Health Insurance Card.

People who receive financial assistance, and their children who are under the age of 18, are automatically enrolled in the Public Plan and will therefore receive prescription drug coverage to help pay for their medications.

How do you apply for coverage of Hep C meds?

In Québec, the Public Prescription Drug Insurance Plan outlines hepatitis C medications that are eligible for coverage.

There are no restrictions on provincial access to treatment based on level of liver injury (fibrosis stage) in Quebec. Some other jurisdictions still have restrictions on who qualifies for treatment coverage based on fibrosis level.

For more information about the Public Prescription Drug Insurance Plan, people can visit the Régie website or call the department directly at (418) 646-4636 in Québec, (514) 864-3411 in Montréal, or toll-free anywhere else in the province at 1-800-561-9749.

What about coverage under the Non-Insured Health Benefits program?

Registered First Nations and recognized Inuit people may be able to access coverage for their hepatitis C medications through the Non-Insured Health Benefits (NIHB) program.  People can contact NIHB by phone or mail at:

Non-Insured Health Benefits – Québec Region
First Nations and Inuit Health
Health Canada
Guy-Favreau Complex, East Tower, Suite 202
200 René-Lévesque Boulevard West
Montreal, Quebec
H2Z 1X4

Toll-free: 1-877-483-1575

 

Costs and Coverage for Treatment in Canada

Some programs can be accessed by all Canadians. Examples include:

Private health insurance

Some health insurance policies offered through private insurance companies include coverage for prescription drugs. These programs often have their own deductible, or co-pay fee, and may have yearly maximums for prescription drugs.

Programs offered by pharmaceutical companies

The pharmaceutical companies that make Hep C medications have programs to help people complete treatment.

These programs have phone support for people on treatment, and part of this support is helping people to access the funding necessary to cover treatment costs. These programs can inform patients about local, provincial, and federal government programs for accessing treatment and can help the patient find out ways to maximize any public funding or private medical insurance (including the appeals process, if the patient also has a supportive doctor). If a person is eligible, some programs can help cover the insurance company co-pay fee, provincial or territorial plan's deductible, and a number of other expenses, depending on a person's specific situation.

AbbVie has the AbbVie Care Program for people taking Holkira Pak (dasabuvir, ombitasvir, paritaprevir and ritonavir) or Maviret (glecaprevir and pibrentasvir). Bristol-Myers Squibb Canada has the CLAIRE Program for people taking Daklinza (daclatasvir). Gilead Sciences has the Momentum HCV Support Program for people taking Epclusa (sofosbuvir and velpatasvir), Harvoni (sofosbuvir and ledipasvir), Sovaldi (sofosbuvir) or Vosevi (sofosbuvir, velpatasvir and voxilaprevir). Janssen has the Janssen BioAdvance Program for people taking Galexos (simeprevir). Merck has the Merck Care Hepatitis Program for people taking Zepatier (elbasvir and grazoprevir).
 

For more information, contact:

 Merck Care Program

 1-866-872-5773

 Momentum Support Program (Gilead)

 1-855-447-7977

 Janssen BioAdvance Program

 bioadvance.ca

AbbVie Care 

1-844-471-2273

CLAIRE Program (Bristol-Myers Squibb Canada)

1-844-HCV-2559

People who contracted hepatitis C from a blood transfusion between 1986 and 1990 may be eligible to have hepatitis C treatment expenses covered by the Hepatitis C January 1, 1986 - July 1, 1990 Class Actions Settlement. To learn more about these programs, see Compensation.

Revised 2018.