Pharmacare is a Canadian proposal for a publicly funded insurance program for medications,Pharmacare. Canadian Pharmacists Association. Retrieved 8 November 2020. similar to Medicare for health insurance. Limited pharmacare programs exist in the provinces of Ontario,Steve Paikin (5 January 2018). Is 'OHIP+' really the best option for free prescription drug coverage in Ontario?. TVO. Manitoba,General Pharmacare Questions. Manitoba Health, Seniors and Active Living. Retrieved 8 November 2020. and British Columbia.PharmaCare for BC Residents. British Columbia Health. Retrieved 8 November 2020. Multiple organizers and commenters have advocated a pan-Canadian pharmacare program to complement the existing health system, but the precise model for implementation is unclear.Canada needs universal pharmacare (19 October 2019). The Lancet 394(10207), 1388.National Pharmacare Program. Canadian Society of Hospital Pharmacists. Retrieved 8 November 2020. Kyle Duggan (9 March 2018). A rough guide to Canada's looming pharmacare debate. iPolitics.
History A national pharmacare program was first proposed as part of Canada's universal health coverage plan in 1964. Attempts to create a federal program began in 1994 under Prime Minister Jean Chrétien after a recommendation from the National Forum on Health.Terrence Sullivan, Colleen Flood (3 February 2004). Chrétien's prescription for medicare: a green poultice in lieu of accountability. CMAJ. 170(3):359–360. This was followed by the Liberal Party endorsing pharmacare "as a long-term national objective" in 1997.Vik Adhopia (2 February 2018). MPs mum about possibility of national drug plan. CBC. The efforts ultimately failed over disagreements between the federal and provincial governments. Despite subsequent recommendations from the Commission on the Future of Health Care in Canada and the Canadian Senate, the efforts were discontinued in 2006 by Prime Minister Stephen Harper who had previously pledged to implement a pharmacare program.Joel Lexchin (9 May 2022). After More Than 50 Years, Pharmacare (and Dental Care) are Coming to Canada. International Journal of Health Services. 52(3):341–346.Conservatives promise more health-care money, pharmacare program (4 June 2004). CBC.
In 2019, Prime Minister Justin Trudeau promised to implement pharmacare if re-elected.Throne Speech's promise of pharmacare rings hollow (4 October 2020). NOW Magazine. Hannah Thibedeau (19 October 2019). Liberals aren't setting aside enough cash yet for pharmacare, says advisory panel chair. CBC. The plan was endorsed by Liberal delegates in 2021 and included as part of a Confidence and Supply agreement between the Liberal Party and NDP in 2022.John Paul Tasker (10 April 2021). Liberal delegates endorse a universal basic income, reject capital gain tax hike. CBC.The Canadian Press (22 March 2022). Liberals, NDP strike tentative deal to keep government in power until 2025: reports. National Observer. In February 2024, the NDP and Liberals reached an agreement on proposed draft legislation for a pharmacare program.Aaron Wherry (23 February 2024). Liberals and New Democrats reach a deal on pharmacare. CBC News. The proposed program would create a single-payer system to cover expenses for contraceptives and diabetes medication in the first phase, with a designated budget of $1.5 billion. Subsequent phases would develop a national formulary and national purchasing plan, at an estimated cost of $38.9 billion for the 2027/28 fiscal year.Justin Fiacconi (26 April 2024). Ottawa says pharmacare is coming — here's what you need to know. CBC News. The government tabled Bill C-64 titled An Act respecting pharmacare in 2024, which passed on October 10, 2024.An Act respecting pharmacare. LEGISinfo. The Canadian Agency for Drugs and Technologies in Health (CADTH) was revamped into Canada's Drug Agency, tasked with creating a formulary and a national purchasing plan.CADTH is now Canada's Drug Agency (1 May 2024). Canada's Drug Agency.
In September 2024, British Columbia became the first province to sign on to the program to cover birth control and diabetes medication; prior coverage provided by the province for birth control was re-allocated to hormone therapy medication for women.The Canadian Press (12 September 2024). B.C. pharmacare deal will cover diabetes meds, hormone therapy. CBC. Manitoba joined the program in February 2025.Sarah Ritchie (27 February 2025). Manitoba becomes first province to join national pharmacare program with $219M deal. Global News.
See also
Canadian Dental Care Plan Pan-Canadian Pharmaceutical Alliance Canada's Drug Agency
References
External links A Prescription for Canada: Achieving Pharmacare for All - Final Report of the Advisory Council on the Implementation of National Pharmacare. Canada.ca. Pharmacare 2020