Table 1 Drug exceptional access programs in Québec
Exceptional drug program (“Médicament d’exception”) | Exceptional patient program (“Patient d’exception”) | Particular medical necessity (“Nécessité médicale particulière”) | Exceptional treatment (“Traitement d’exception”) | |
|---|---|---|---|---|
Health Canada notice of compliance | Yes | Yes | Yes | No |
Listed on the provincial public insurance list | Yes | Yes | No | No |
INESSS conditions | Only if therapeutic indication recognized by INESSS and with exceptional reimbursement | Use associated with patient specific conditions | Unevaluated or evaluated negatively | Unevaluated |
Decision | Régie Assurance Maladie du Québec (RAMQ) | RAMQ | Hospital board of professionals (CMDP) | Hospital board of professionals (CMDP) |
Access | In pharmacies and hospitals | In community and hospitals | In hospitals | In hospitals |