Why are the professional fees I pay for my private insurance plan different from those paid by people insured under the public health plan (RAMQ)?

The public plan rates are set by the government and are not representative of the pharmacy’s operating realities because they have not been indexed to inflation in the past 15 years, even though the pharmacy business and the drugs themselves have become considerably more complex. Public and private plans are very different. For privately insured individuals, the fees reflect the pharmacy’s business conditions and the expenses required so it can remain accessible to its patients. The administrative and logistical management resulting from the multitude of existing private insurance plans generate a greater workload for the pharmacy staff as well. 

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