Pharmacy Reimbursements

According to the Agreement between Saskatchewan Health and pharmacy proprietors, the prescription cost is calculated by adding the acquisition cost of the drug material, the submitted pharmacy mark-up and a dispensing fee (up to a maximum).

The maximum dispensing fee is $8.63 (effective October 1, 2007). A maximum pharmacy mark-up was implemented on August 23, 1999. The maximum mark-up 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 to $200.00. (There is a maximum pharmacy mark-up of $20.00 for drug cost over $200.00.)
  

For urine-testing agents, the pharmacy receives acquisition cost along with the mark-up and a 50 per cent mark-up in place of the dispensing fee. For insulin, the pharmacy receives acquisition cost plus a negotiated mark-up.