B.C. pharmacare deal will cover diabetes meds, hormone therapy

British Columbia has become the first province in Canada to sign a memorandum of understanding with the federal government to be covered under the first stages of a national pharmacare program. (Darryl Dyck/The Canadian Press)

The Canadian Press · Posted: Sep 12, 2024 4:31 PM PDT | Last Updated: September 12

With files from Belle Puri

Insulin, birth control and hormone replacement therapy to be funded

British Columbia has become the first province in Canada to sign a pharmacare agreement with the federal government that would help the province fund hormone replacement therapy and diabetes expenses.

Federal Health Minister Mark Holland said B.C.’s portion of the $1.5-billion national plan is estimated to be $195 million, and under the memorandum of understanding, funding could begin by April once the legislation makes it through the Senate.

“My objective remains, and I am confident that we can achieve it, to sign an agreement with every jurisdiction in the country, every province, every territory, prior to April 1 of next year, and to get drugs flowing in every jurisdiction in that timeline,” Holland said at a joint news conference in Vancouver on Thursday.

The coverage was to be for birth control and diabetes drugs and supplies, but B.C. Health Minister Adrian Dix said oral contraceptives are already covered under a provincial program so that share will be used to cover hormone therapy for women.

“We are taking that money, the between $30 and $40 million in B.C., that will come from the federal government for contraception, and applying it to something else, to make something else free at point-of-purchase, free for British Columbia women,” Dix said.

A person holds up an insulin pen.
Adrian Dix says about 150,000 British Columbians get diabetes medication. (Ben Nelms/CBC)

Dix, who has Type 1 diabetes, said about 150,000 British Columbians get diabetes medications, and it’s estimated that covering hormone replacement therapy will benefit 40,000 women.

He said the cost that comes with diabetes can be particularly difficult for some.

“I’ve had it for a long time, and I can afford to deal with it,” Dix said. “Probably after taxes, $120,000 is what it cost me.”

Making HRT affordable

In April 2023, B.C. became the first jurisdiction in Canada to provide free birth control, and Dix said 264,000 women in British Columbia have been able to access free contraception.

Holland said funding hormone therapy in B.C. is fundamentally important for women’s health.

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