Question

ODB will provide reimbursement for a higher-cost interchangeable product in which case?

A) Only on weekends
B) Only if it's sunny outside
C) When the prescriber indicates "no substitution" on the prescription
D) During leap years

Answer 1

The ODB program will reimburse for a higher-cost interchangeable product when "no substitution" is indicated by the prescriber on the prescription, typically for reasons related to patient's clinical needs.

Step-by-step explanation:

The Ontario Drug Benefit (ODB) program will provide reimbursement for a higher-cost interchangeable product when the prescriber indicates "no substitution" on the prescription. This means that the prescriber has specified on a prescription that the brand name drug, rather than a generic or lower-cost alternative, must be dispensed to the patient. The indication of "no substitution" is usually made for clinical reasons where the prescriber deems it necessary for the patient to receive a specific brand due to concerns about effectiveness or potential reactions to different formulations.