1. 2. 3. Breslau N, Davis GC. Migraine, physical health and psychiatric disorder: a prospective epidemiologic study in young adults. J Psychiatr Res 1993; 27: 21121. Breslau N, Davis GC, Schultz LR, Peterson EL. Joint 1994 Wolff Award Presentation: migraine and major depression: a longitudinal study. Headache 1994; 34: 38793. Marazziti D, Toni C, Pedri S, Bonuccelli U, Pavese N, Nuti A, and others. Headache, panic disorder and depression: comorbidity or a spectrum? Neuropsychobiology 1995; 31 3 ; : 1259. Mortimer MJ, Kay J, Jaron A, Good PA. Does a history of maternal migraine or depression predispose children to headache and stomach-ache? Headache 1992; 32: 3535.
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6% upcharge for the service. The government pays us the markup on the back price, and the back price is of course the best available price as published in the ODP formulary. That usually refers to the price from the manufacturer, which unfortunately is just not possible for most pharmacists to get. As a result, we collect the difference in markup of just maybe--well, right now it would be 3.5%, but with the new legislation, that would be 2.5%. Simply put, on expensive medications, this would just not be economically feasible for pharmacies to stock expensive medications. In some cases, a margin like that would just mean pharmacies going out of business, as my previous colleague here mentioned. I really do believe that pharmacies will close if that happens. I think it was 20 years ago that the government decided that reducing the number of physicians in this province would save them money. You will have an exodus of pharmacies, and 20 years from now we'll be trying to replace pharmacists in this province, if this bill goes through as it is. The Vice-Chair: Thank you for your presentation. Your time is over. MAIN DRUG MART The Vice-Chair: Now I'm going to call on Main Drug Mart. You know the rules. You have 10 minutes to speak. If you wish, you can speak all the time, or you can divide it between questions and answers and also your speech. Can you state your name, sir, before you start, please? Mr. Nagy Rezkallah: Sure. My name is Nagy Rezkallah, and I a pharmacist and co-owner of three Main Drug Mart stores in the Metro area that have 38 employees. I here as an Ontario citizen who cares not only for his own business but also for his fellow citizens. I understand that democracy brought me here to express my concern and I understand also that the same democracy is able to amend any given proposal. Apart from filling and counselling on any filled prescription, we have other services that we provide free of charge, and those services are all supported by the generic allowance we get. For example: 1 ; diabetic education, one-on-one with glucometer use and managing diabetes; 2 ; blister pack or dosette for nursing homes, elderly and confused patients to make sure they take their medication correctly, which saves the taxpayers unnecessary expenses by avoiding hospitalization and home care. I brought one with me. You don't know it. This is how it's done. It takes at least 30 to 45 minutes to do one of those, and we provide those free of charge because I get my expense from the generic allowance. If I don't have that allowance, I'm not going to be able to do that anymore; there is no way. Drug reviews, meaning we sit with the patients, we check all their medications and design an administration plan; also check side effects, drug interaction and drug duplication, which we have to correct. That arises from.
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8. NHIS. Consider advocating for the general inclusion of PLWHA into the NHIS that may eventually want to consider forming cooperative societies for the HMO framework. Create a more significant role for pharmacists in the NHIS. 9.3 Pharmacy Laws, because side affects.
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