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What are Pharmacy Dispensing Fees and How to Pay Less

28 March 2024
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    A female customer in her 50s stands at a pharmacy counter wearing a protective mask; a pharmacist stands behind plexiglass preparing a prescription

    Ever wondered about the breakdown of charges on your pharmacy receipt? Among them, the “F” code stands for pharmacy dispensing fees. These fees are for the costs associated with preparing and distributing medication. This also includes advice from the pharmacist, managing the inventory, and general admin tasks.

    Finding the lowest dispensing fee

    The pharmacy with the lowest dispensing fee can vary based on location and ongoing promotions. In general, big box retailers like Walmart and Costco tend to offer lower fees compared to chain pharmacies. It’s always best to check with your neighbourhood drug store directly. You can also check out this Drug Dispensing Fees chart that’s updated every quarter.

    Coverage of pharmacy dispensing costs

    How much dispensing fee coverage you have depends on where you live in Canada, and your specific health insurance plan. Provincial health insurance plans typically cover some prescription drug costs. You might still have to pay out-of-pocket expenses. Private health insurance plans may offer additional coverage, so it’s a good idea to review your health insurance policy details.

    Dispensing fee coverable by province

    British Columbia
    In British Columbia, the maximum dispensing fee is $10.00, excluding insulins and insulin-related supplies. Rural pharmacies with low claim volumes receive subsidies ($3.00 to $10.50 per claim). PharmaCare covers dispensing fees for up to 100 days from the original prescription date.
    Alberta and Saskatchewan
    In Alberta and Saskatchewan, the most a pharmacy can charge for dispensing fee is $12.15. Fees can vary up to this rate.
    Manitoba
    In Manitoba the maximum dispensing fee for publicly funded drug programs is $30 per prescription. For sterile compounds the maximum fee is $60.
    Ontario
    For Ontarians on the Ontario Drug Benefit program, dispensing fees can be anywhere from $8.83 to $13.25 although some portion of them may be covered. Pharmacies are encouraged to supply 100 days of medication for chronic conditions to help minimize the dispensing costs.
    Quebec
    In Quebec*, fees are $10.03 for each prescription. However, this varies for certain types of medications and services. Note, MMHI does not sell insurance in Quebec
    New Brunswick
    Dispensing fee details for qualified claims:
    • Drugs on the Manufacturer List Price (MLP) List:Up to $11.00
    • Drugs on the Maximum Allowable Price (MAP) List: Up to $11.00
    • Extemporaneous preparations (compounds): Up to $16.50
    • Methadone for chronic pain: Up to $11.00
    • Drugs for opioid dependence (e.g., methadone, buprenorphine/naloxone): Up to $9.50
    Nova Scotia
    Between 2021, and 2022, dispensing fees rose slightly: for ostomy supplies to $12.39, compounded products to $18.59 (excluding methadone and injectables), and other prescriptions to $12.39 (including methadone). From October 18, 2021, pharmacists prescribing certain medications can claim a $20 professional fee.
    Prince Edward Island
    The highest professional fee reimbursed is $12.36. Compounding fees are 1.5 times the customary charge, maxing at $18.54. Private nursing homes receive a capitation fee of $76.52.
    Newfoundland
    For the Access Plan, the Assurance Plan, and the Foundation Plan:
    • Drug cost: $0.00–$49.99 > dispensing fee $11.96
    • Drug cost: $50.00–$249.99 > dispensing fee $23.93
    • Drug cost: $250.00+ > dispensing fee $50.00

    For the 65Plus Plan:
    • Drug cost: $0.00–$249.99> dispensing fee $12.00
    • Drug cost: $250.00+ > dispensing fee $40.00

    Tips for saving on pharmacy dispensing fees

    To reduce costs when filling prescriptions, consider these strategies:

    • Compare pricing among pharmacies, as fees can vary.
    • Opt for a larger supply for medications you regularly use to save on refill fees.
    • Inquire about generic options, which are often more affordable and equally effective.
    • Consult your insurance provider for coverage details and potential quantity limits.

    Tax deductibility of dispensing fees

    In Canada, pharmacy dispensing fees are generally not tax deductible. They fall into the category of personal healthcare expenses. However, there may be circumstances where medical expenses like these could qualify for tax credits or deductions. Seek advice from a tax professional for personalized guidance.

    Take control of your healthcare coverage

    Understanding pharmacy dispensing fees and finding ways to lower costs is one way to focus on your health and financial well-being. Do you have good drug benefits with your health insurance coverage? For expert guidance, talk to one of our health insurance advisors today.

    author avatar
    Dan MacLellanPresident
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