Once a drug is approved by Health Canada, the next step in making the drug available for patients is for the drug company to submit their information about the drug’s efficacy, safety, and pricing to the Canadian Agency for Drugs and Technologies in Health (CADTH) as well the various provincial health ministries. During those review processes, the agencies will also accept patient groups’ input and it is strongly recommended that patient groups take the time and effort to provide their input.

For CADTH, they recently updated their templates for patient groups input for both biosimilars and non-biosimilars. The same templates are used for both Common Drug Review

(CDR) and pan-Canadian Oncology Drug Review (pCODR) programs.

Some of the items asked in those templates include:

  1. Describe the Patient Group
  2. How was the information gathered (Survey, focus groups, interviews?)
  3. Disease experience (How does the disease impact the patient and caregiver on a daily basis?)
  4. Experience with currently available treatment (Is there an unmet need?)
  5. Improved outcomes (What outcome measures do patients most care about? What trade-off do patients consider when evaluating treatment options?)
  6. Experience with drug under review (Were any Canadian patients involved in the clinical trials? If so, did the benefits outweigh the side effects? Is the drug more effective in some sub-groups?)
  7. Companion diagnostic test (Were the tests used convenient and/or relevant?)
  8. Anything else (Is there anything else reviewers should know about the disease and drug not covered in previous questions?).

For the various health ministries, you generally will have to contact each individually and there is no formal template to fill out. Recently, CADTH provided a nice contact cheat sheet to speed up the process and that information is provided below:

Alberta

Professional and Industry Relations Pharmaceutical and Supplementary Health Benefits Alberta Health
10025 Jasper Avenue 11th Floor, ATB Place
North Edmonton, AB, T5J 1S6
780 427 2653

British Columbia

Formulary Management Pharmaceutical Services Division BC Ministry of Health
1515 Blanshard Street
Victoria, BC, V8W 3C8
250 952 2589

Correctional Service Canada (CSC)

National Pharmacist Correctional Service Canada
340 Laurier Ave West
Ottawa, ON K1A 0P9
613-996-7437

Department of National Defence

CAF Drug Plan Manager
CF Health Services Group/DMedPol
Carling Campus – 9N, 2nd floor
101 Colonel By Dr
Ottawa ON K1A 0K2

Manitoba

Manitoba Drug Standards and Therapeutics Committee
1020-300 Carlton Street
Winnipeg, MB R3B 3M9
204 786 7233

New Brunswick

Formulary Management Pharmaceutical Services
Department of Health
P.O. Box 5100 520 King Street, 3rd Floor
Fredericton, NB, E3B 5G8
506 453 3884

Newfoundland and Labrador

Pharmaceutical Services
Division Department of Health and Community Services
45 Major’s Path
St. John’s, NL, A1A 4Z9
709 729 6507

Non-Insured Health Benefits

Pharmacy Policy Development Division Non-Insured Health Benefits
First Nations and Inuit Health Branch
Health Canada
200 Eglantine Driveway Postal Locator 1902A
Ottawa, ON, K1A 0K9
613 957 7674

Northwest Territories

Health Services Administration Territorial Services Department of Health and Social Services Bag Service #9
Inuvik, NT, X0E 0T0
867 777 7404

Nova Scotia

Insured Pharmaceutical Programs
Nova Scotia Department of Health and Wellness
1894 Barrington Street, 3rd Floor PO Box 488
Halifax, NS, B3J 2A8
902 424 1596

Ontario

Drug Program Services Branch
Ontario Public Drug Programs Ministry of Health and Long-Term Care
5700 Yonge Street, 3rd Floor
Toronto, ON, M2M 4K5
416 327 8109

Prince Edward Island

Pharmacy Consultant Health System Planning and Development Department of Health and Wellness
P.O. Box 2000, 16 Fitzroy Street
Charlottetown, PE, C1A 7N8
902 368 4907

Saskatchewan

Pharmaceutical Policy and Appropriateness Drug Plan and Extended Benefits Branch Saskatchewan Health
3475 Albert Street, 2nd Floor
East Regina, SK, S4S 6X6
306 787 3110

Veterans Affairs Canada (VAC)

Veteran Affairs Canada
CMP/CFHS HQ/D Med Pol
Carling Campus Building 9 – 2
3500 Carling Ave
Nepean ON K2H 8M9

Yukon

Extended Benefits and Pharmaceutical Services Insured Health and Hearing Services (H-2) Government of Yukon
4th Floor, 204 Lambert Street (Box 2703)
Whitehorse, YT, Y1A 2C6
867 667 5628