Dispensing Fee in Ontario


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k_kayani   
Member since: May 04
Posts: 27
Location: Toronto

Post ID: #PID Posted on: 22-05-07 21:10:44

I believe the real issue is the dispencing fee is getting higher and higher. I just had recent experience of visiting shoppers drug mart and shocked to hear that even for two priscribed mouth wash bottles I have to pay 11.99 individually. And I see nothing added value from phamacist in this case.



pratickm   
Member since: Feb 04
Posts: 2831
Location: Toronto

Post ID: #PID Posted on: 22-05-07 21:35:44

Quote:
Originally posted by 7wonders
Pharmacist is solely responsible for any error which he has dispensed.
If you can pay 10$ to sign one paper to notary why can't you pay to Pharmacist.
Pharmacist has to know the side effects and interaction. Definitely, computer helps but he make sure the thing.
If you haven't got information from pharmacist then you have right to ask to any pharmacist and you will get the answer.
Pharmacists are professionals they dont work blindly.
If it would have that easy then why do they pay 40$ per hour to pharmacist.
Grass is always green from other side. So you think pharmacist is gettin huge money for nothing.

I disagree - for a couple of reasons.

1. What you mention above is the doctor's job, not the pharmacists.
The doctor knows better about your medical history, your allergies, your reactions and what other medications you are taking.
The doctor determines whether you should take this medication or not.
If the pharmacists were to know all of that, why would you need a doctor?

You suggest that we should ask the pharmacist questions about our medications and he will be able to give us the answer.
Have you actually tried that yourself?
Chances are the pharmacist will tell you to ask the doctor who prescribed the medicine in the first place.

2. The comparison with the notary is not fair.
Let's say I am having a photocopy of my driver's license notarized.
I am required to show the original and the copy, and the notary stamps the copy after verifying against the original.
If at a later time, the photocopy was found to be not an exact copy of the original, the notary can lose his license.

OTOH, if you take medication that interfers with another medications you are already taking, who would you go after - the pharmacist or the doctor?

Please correct me if I am wrong on this.

I don't see any justification for this fee.


-----------------------------------------------------------------
"Mah deah, there is much more money to be made in the destruction of civilization than in building it up."

-- Rhett Butler in "Gone with the Wind"


sudesingh   
Member since: Jul 04
Posts: 2085
Location: Toronto

Post ID: #PID Posted on: 22-05-07 22:07:05

7Wonders, can I request you to calm down, and not show your anger, by capatilizing your post

Quote:
Originally posted by 7wonders

Pharmacist is solely responsible for any error which he has dispensed.



Isn't that true for any profession, be it a Doctor, Dentist, Engineer or Lawyer

Quote:
Originally posted by 7wonders

If you can pay 10$ to sign one paper to notary why can't you pay to Pharmacist.


This is debatable, it all depends on the value you get from the Pharmacist, and I guess that's the point of this entire post


Quote:
Originally posted by 7wonders
Pharmacist has to know the side effects and interaction. Definitely, computer helps but he make sure the thing.


Certainly they do know and explain the side effects to the patient. At the same time have you seen the fine print, in case of any emergency or side effects - please contact your Doctor or the hospital

Quote:
Originally posted by 7wonders
If you haven't got information from pharmacist then you have right to ask to any pharmacist and you will get the answer.


The patient is the one receiving the information. There is no set questionaire that you take to the pharmacist and ask them for answers against each of those


As others have said, the real value would be realized if the Pharmacist had access to all your previous medications and medical history and then advice you accordingly. Infact they ask the patient - any allergies, etc.

Is anyone aware of any value-add service / information the Pharmacist give you in exchange for the dispensing fee.


-----------------------------------------------------------------
SS
Reiki Grand Master


7wonders   
Member since: Aug 03
Posts: 518
Location: Toronto

Post ID: #PID Posted on: 22-05-07 22:15:07

Quote:
Originally posted by pratickm

Quote:
Originally posted by 7wonders
Pharmacist is solely responsible for any error which he has dispensed.
If you can pay 10$ to sign one paper to notary why can't you pay to Pharmacist.
Pharmacist has to know the side effects and interaction. Definitely, computer helps but he make sure the thing.
If you haven't got information from pharmacist then you have right to ask to any pharmacist and you will get the answer.
Pharmacists are professionals they dont work blindly.
If it would have that easy then why do they pay 40$ per hour to pharmacist.
Grass is always green from other side. So you think pharmacist is gettin huge money for nothing.

I disagree - for a couple of reasons.

1. What you mention above is the doctor's job, not the pharmacists.
The doctor knows better about your medical history, your allergies, your reactions and what other medications you are taking.
The doctor determines whether you should take this medication or not.
If the pharmacists were to know all of that, why would you need a doctor?

You suggest that we should ask the pharmacist questions about our medications and he will be able to give us the answer.
Have you actually tried that yourself?
Chances are the pharmacist will tell you to ask the doctor who prescribed the medicine in the first place.

2. The comparison with the notary is not fair.
Let's say I am having a photocopy of my driver's license notarized.
I am required to show the original and the copy, and the notary stamps the copy after verifying against the original.
If at a later time, the photocopy was found to be not an exact copy of the original, the notary can lose his license.

OTOH, if you take medication that interfers with another medications you are already taking, who would you go after - the pharmacist or the doctor?

Please correct me if I am wrong on this.

I don't see any justification for this fee.



Hi pratickm
I just got this right from HRDC(reliable website for duties of pharmacist)
You are right that doctors need to know but pharmacist are parallel to doctors.
They have to correct doctors error as well. Many times doctor make mistakes and pharmacist correct it.

Community pharmacists and hospital pharmacists perform some or all of the following duties:
Check prescriptions for proper dosage
Compound prescribed pharmaceutical products by calculating, measuring and mixing the quantities of drugs and other ingredients required and filling appropriate containers with correct quantity
Dispense prescribed pharmaceuticals to customers or to other health care professionals and advise them on indications, contra-indications, adverse effects, drug interactions and dosage

Maintain medication profiles of customers including registry of poisons and narcotic and controlled drugs
Ensure proper preparation, packaging, distribution and storage of vaccines, serums, biologicals and other drugs and pharmaceuticals
Order and maintain stock of pharmaceutical supplies
Advise customers on selection and use of non-prescription medication
May supervise and co-ordinate the activities of other pharmacists, pharmacy assistants, pharmacy technicians and other staff.
Industrial pharmacists perform some or all of the following duties:

I' m in this field so I know better.
My point is that you don't want to put your health risk for couple of dollars.
If you pay for comparing they why cant you pay for using their own knowledge and expertise to advice you.

You are saying that why do they charge dispensing fees for mouth wash bottles. Then, why all professional charge at the same rate per hour..for eg,
mechanice they charge 70 dollars per hour ..either it is an easy or difficult job.


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E mere vatan ke logo.............

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newton   
Member since: Mar 07
Posts: 169
Location: Toronto

Post ID: #PID Posted on: 22-05-07 22:16:45

http://www.health.gov.on.ca/english/public/pub/drugs/dispense.html




A dispensing fee is the amount a pharmacy charges for providing professional services such as patient counseling, monitoring drug therapy, providing drug information to physicians and dispensing drug products. It also covers stocking of medication, maintaining patient medication records, general operating costs such as taxes, employees' salaries, rent, etc., and return on investment.



pratickm   
Member since: Feb 04
Posts: 2831
Location: Toronto

Post ID: #PID Posted on: 28-05-07 15:29:35

Quote:
Originally posted by newton
A dispensing fee is the amount a pharmacy charges for providing professional services such as patient counseling, monitoring drug therapy, providing drug information to physicians and dispensing drug products. It also covers stocking of medication, maintaining patient medication records, general operating costs such as taxes, employees' salaries, rent, etc., and return on investment.

It sounds like the "dispensing fee" is then just a fancy name for the pharmacy store's profit markup, just like any other product like cosmetics, mechandise, etc.
All other products have the store's profit markup built into them, which is why we don't pay anything over the listed price (other than taxes).
But the drug prices probably don't have any profit markup built into the price, so they have devised this dispensing fee.

Does this sound right - please correct me if I am wrong.

I read the following - covers stocking of medication, maintaining patient medication records, general operating costs such as taxes, employees' salaries, rent, etc., and return on investment. as the store's general operating expenses and profit markup no different than any other product.


-----------------------------------------------------------------
"Mah deah, there is much more money to be made in the destruction of civilization than in building it up."

-- Rhett Butler in "Gone with the Wind"


7wonders   
Member since: Aug 03
Posts: 518
Location: Toronto

Post ID: #PID Posted on: 29-05-07 07:54:30

Quote:
Originally posted by pratickm

Quote:
Originally posted by newton
A dispensing fee is the amount a pharmacy charges for providing professional services such as patient counseling, monitoring drug therapy, providing drug information to physicians and dispensing drug products. It also covers stocking of medication, maintaining patient medication records, general operating costs such as taxes, employees' salaries, rent, etc., and return on investment.


It sounds like the "dispensing fee" is then just a fancy name for the pharmacy store's profit markup, just like any other product like cosmetics, mechandise, etc.
All other products have the store's profit markup built into them, which is why we don't pay anything over the listed price (other than taxes).
But the drug prices probably don't have any profit markup built into the price, so they have devised this dispensing fee.

Does this sound right - please correct me if I am wrong.

I read the following - covers stocking of medication, maintaining patient medication records, general operating costs such as taxes, employees' salaries, rent, etc., and return on investment. as the store's general operating expenses and profit markup no different than any other product.





-Medicines do have mark up on their prices. So, it is not without profit.
-As far as dispensing fees concern, pharmacies has to decide first and then they have to register with OCP(Ontario college of pharmacists).Some portion of the dispensing fees goes to OCP as well. Others pharmacies keep for salaries and all stuff.


-----------------------------------------------------------------
http://www.youtube.com/watch?v=YMVuD_in67M

E mere vatan ke logo.............

If you want to do something for our country, just dont support corruption or be part of it


Contributors: 7wonders(6) pratickm(3) navin2004(2) newton(1) Maharaj(1) lana2005(1) k_kayani(1) sudesingh(1)



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