Health ministry to boot 46 pharmacies from drug plan

PharmaCare crackdown follows audits, concern over methadone dealing irregularities in Lower Mainland (with interactive chart)

A patient holds a bottle of methadone dispensed by a pharmacy in Surrey.

The B.C. government intends to effectively shut down as many as 46 Lower Mainland pharmacies by excluding them from the PharmaCare program in the wake of a review that flagged various abuses.

Letters have gone out to the pharmacies giving them three weeks to argue why they shouldn’t be denied the ability to bill the publicly funded drug plan effective next month.

There have been past allegations of kickbacks paid by methadone-dispensing pharmacies to retain addicted patients, among other concerns about their practices.

Health ministry officials aren’t releasing specifics or the locations of the pharmacies involved.

“Many of these pharmacies are dispensing methadone,” Health Minister Terry Lake confirmed.

A regulatory change that took effect in December now allows the ministry to refuse to do business with pharmacies with a history of problematic business and billing practices, and forces them to disclose their ownership, management and track record.

“Until now, it could be hard for the ministry to cancel the enrolment of a pharmacy taking advantage of patients or breaking PharmaCare’s billing rules,” Lake said.

Recent audits of pharmacies have turned up hundreds of thousands of dollars in billing irregularities.

The ministry says some pharmacies improperly filed drug information for patients into the province’s prescription-tracking network, potentially risking their health, while others gave false information on their enrolment applications.

A health ministry spokesperson would not release specifics or the locations of the 46 targeted pharmacies, but said some are being excluded for problems unrelated to methadone.

The 20 highest billing methadone pharmacies in B.C. include four each in Surrey and Vancouver’s Downtown Eastside, five elsewhere in Vancouver, three in Abbotsford, two in Victoria and one each in Nanaimo and Kamloops.

Together they were paid more than $12 million from the PharmaCare program to supply methadone in 2013, according to a provincial review of the methadone maintenance program completed in January.

The review found methadone costs covered by PharmaCare have climbed by an average of 7.6 per cent a year since 2001 to nearly $44 million, making it the program’s second-highest drug cost.

More than 15,000 drug addicts received PharmaCare-funded methadone in 2013 – about 5,200 in Vancouver, 3,400 in Surrey, 1,200 in Burnaby, 1,000 each in Abbotsford and Greater Victoria, and another 2,000 split between Coquitlam, New Westminster and Nanaimo.

The review notes the ministry has for more than a decade dealt with methadone dispensing problems, including the offering of inducements to patients and improper billing.

“There appear to be significant concerns relating to the safety, acceptability, equity and efficiency of the [program],” the review found.

It also pointed to B.C.’s “generous” dispensing fees, including a witnessing fee to make sure patients drink methadone at the pharmacy, that together make it a lucrative business.

Dispensing methadone to a single patient is worth nearly $6,500 a year in fees to a pharmacy net of the drug costs, the review said, and dispensing other drugs to the patient can triple that.

Lake defended B.C.’s policy on fees.

“The witnessing fee is important to ensure that the person who is prescribed the methadone actually takes the methadone, because there is a market value on the street and we want to ensure that the proper person is getting the medication,” he said.

“There’s just a very small number of pharmacists and pharmacies that have been shown be not following the rules.”

Other pharmacies exist near each targeted one, Lake said, and a smooth transition of patients and their prescriptions is expected.

– with files from Tom Fletcher

METHADONE DEALING | Create infographics

Just Posted

Esquimalt café cooks up connections for all abilities

A Kinder Cup focuses on positivity, inclusivity and connection

Free bike exchange program available to Greater Victoria kids

The Re-Buy-Cycle Shop in Langford offers free bikes for young learners

Central Saanich sparks up new opening burning bylaw

New bylaw offers ‘balanced approach’ between status quo and tougher provincial regulations

Oak Bay father’s testimony at murder trial like plot of ‘bad low-budget movie:’ Crown

Crown alleged Andrew Berry’s ‘entire story of Christmas Day is a lie’

PHOTOS: Hundreds gather in downtown Victoria for Extinction Rebellion climate protest

The rally is the kickoff to the Global Climate Strike Week of Action

PHOTOS: Young protesters in B.C. and beyond demand climate change action

Many demonstaers were kids and teens who skipped school to take part

B.C. truck drivers to face higher fines for not using winter tire chains

As of Oct. 1, not using chains on the highway when required could net you a $598 ticket

Singh campaigns in Toronto, May in Winnipeg, as Liberal and Tory leaders pause

All parties expected to be back on the campaign trail Sunday

Possible Canadian cases of vaping illnesses being investigated: health officer

‘I think that will be really important to address the overall trend of youth vaping’

Area 51 events mostly peaceful; thousands in Nevada desert

Three more people were arrested Friday on the remote once-secret military base

B.C. First Nation signs agreement to return its land on Vancouver Island

The land on the east coast of Vancouver Island will be returned to the We Wai Kai Nation

Former B.C. lifeguard gets house arrest for possession of child porn

Cees Vanderniet of Grand Forks will serve six months of house arrest, then two years’ probation

How to react to Trudeau’s racist photos? With humility, B.C. prof says

‘We are now treating racism as a crime that you cannot recover from’

‘I’d do it again,’ says B.C. man who swam naked, drunk in Toronto shark tank

David Weaver, of Nelson, was drunk when he went to Ripley’s Aquarium in Toronto on Oct. 12 2018

Most Read