Saskatchewan

 

Public drug coverage in Saskatchewan is administered under the Saskatchewan Drug Plan, which is a service provided by Saskatchewan Health.

Saskatchewan residents with valid Saskatchewan Health benefits coverage may be eligible for Saskatchewan Drug Plan benefits. The amount of money you will have to contribute then depends on the type of benefits you receive.

Types of Coverage:

Under the Saskatchewan Drug Plan, there are several types of coverage:

Income supplements – Residents qualifying for the Guaranteed Income Supplement (GIS) and Saskatchewan Income Plan (SIP) in Saskatchewan also receive a number of health benefits.

What drugs are covered?

The Saskatchewan Formulary lists the drugs covered under the Saskatchewan Drug Plan. The Formulary is published annually in July, with quarterly updates.

Search the online drug formulary.

What is Exception Drug Status?

Exception Drug status is similar to the concept of Special Authorization. Certain drugs can be approved for coverage under the Exception Drug Status (EDS) Program, and if this occurs, the patient would pay for the EDS drug in the same manner as they would for any other benefit drug.

You can apply for Exception Drug Status for drugs that are:

  • Ordinarily administered only to hospital in-patients
  • Not ordinarily prescribed or administered in Saskatchewan
  • Infrequently used
  • Deleted from the Formulary
  • Potentially used for purposes other than those that are officially approved
  • Potentially used inappropriately
  • More expensive than listed alternatives and only offers an advantage in a small number of cases

Information about costs

The prescription cost is calculated by adding the acquisition cost of the drug material, the submitted mark-up and a dispensing fee (up to a maximum).
The maximum dispensing fee is $11.40. A maximum markup was implemented on August 23, 1999. The maximum markup allowance calculated on the prescription drug cost is:

  • 30 per cent for a drug cost up to $6.30,
  • 15 per cent for a drug cost between $6.31 and $15.80, and
  • 10 per cent for a drug cost of $15.81 and over. (There is a maximum pharmacy mark-up of $20.00 for drug cost over $200.00.)

Source: Pharmacy Reimbursements, Saskatchewan Drug Plan and Extended Benefits, https://www.saskatchewan.ca/government/health-care-administration-and-provider-resources/resources-for-health-care-businesses-and-career-development/pharmacist-career-resources

What coverage is there for hepatitis C medications?

For specific information on coverage for hepatitis C medications, visit hepCinfo.ca's Treament Coverage in Your Region.

Consideration for travelers

If you receive a prescription from a physician in a different province, you can still receive your drug at a Saskatchewan pharmacy. However, you may not be covered by your home province’s drug plan. It is best to consult with your own pharmacist beforehand.

If you are planning to move to Saskatchewan, be aware that you will not be able to receive prescription drug coverage until you qualify as a resident of the province, which may take several months.