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prescription RENEWALS

Prescription Renewal​ Policy

Whereas we have previously asked patients to contact their pharmacy to request a prescription renewal, our policy is changing effective October 1, 2023. There is a $25 fee for prescriptions without an appointment. Alternatively, patients will be offered a “Prescription Renewal Visit” prior to medications coming due.

 

Prescriptions are usually reviewed during an appointment. Before each visit, please make sure to check the number of remaining renewals for your prescriptions. Your provider will endeavour to ensure that there are sufficient number of refills until your next visit for re-evaluation of your medical condition. It is your responsibility to make an appointment before your drug prescription expires. As of October 1, 2023, we will no longer accept requests for renewals from pharmacies.

In an effort to make requesting a prescription renewal more convenient for patients, we have set up an online form (button below) and have a dedicated voicemail box which are accessible 24/7.

Renewal requests without an appointment will have a $25 fee (per medication).

 

Fee will be waived if you are 85 years of age or older.

Please know that the primary purpose is not to collect revenue from patients but rather to decrease the overwhelming administrative burden of avoidable prescription requests. 

Processing time

Please allow a 21-day processing time. For ways to facilitate your renewals, we suggest you speak to your physician at your next visit to discuss alternative options.

 

 

 

Ongoing challenges we face – high costs and demands on our time

The last decade has posed great financial challenges for Ontario’s hard-working family doctors. Since 2012, the Ontario Government has cut family physicians’ funding and billings by effectively over 20%. Meanwhile, office expenses including rent, medical supplies, staff salaries, IT, inflation, and taxes have increased and continue to do so. Furthermore, we are using recent advances in technology that improve patient care and convenience, but these also cost money. Accordingly, we have been forced to review our office policies and procedures in order to continue to provide the quality care that every patient expects and deserves. This includes increasing fees for non-OHIP insured services recently.

Did you know… ?

• The Ontario Health Insurance Plan (OHIP) pays for most of your medical visits and services. However, there are many uninsured services, which OHIP does not cover. 

• OHIP generally only pays for medical assessments and advice that is given in person, face-to-face, with a patient.

• Medical advice, questions, forms or prescription renewals via fax or email are not covered by OHIP (the physician is not being reimbursed a single dollar by OHIP for these services).

• Every single phone call, prescription request, form, letter, note, email, fax, or other such request requires the time, skill, and resources of the staff and physician. Hundreds of such requests every day amount to enormous costs to operate a medical clinic efficiently.

 • Charging for prescription renewals without an appointment was commonplace prior to the Covid 19 pandemic and was put on hold during the pandemic when in-person encounters were limited.

What Else Has Been Tried Before This?

Charging a fee for prescriptions is something we have tried to avoid. 

 

For the better part of a year, we have led meetings with staff and had conversations with some local pharmacies where we have brainstormed and trialed different measures to reduce the number of prescription requests. 

 

We have tried:

  • to synchronize all of a patient’s medications so that they all come due at once;

  • to ensure patients have ample repeats on their prescriptions;

  • reminding patients to check for repeats through multiple methods before contacting our office;

  • to encourage patients to call in for all their medications at once, rather than one at a time;

  • to encourage pharmacies to send requests for multiple medications rather than one request per medication on different occasions;

  • to encourage patients to get their prescriptions renewed during actual visits, rather than calling in later.

 

Unfortunately, none of these efforts have had satisfactory outcomes. Every day, our office still receives hundreds of prescription requests, even from patients who:

  1. Already have repeats at their pharmacy; 

  2. Call in for one medication one day, and then call in for another a few days later, instead of calling in for them all at once;

  3. Call in for a prescription even though they just recently saw the doctor and could have asked for it then;

  4. Have misplaced prescriptions that were already given. 

 

How Will Charging a Fee help us?

For years, many physicians’ offices have already been charging a fee for prescriptions without visits. These offices report the following advantages: 

  • Patients take increased responsibility and improve organization of their medications.

  • The number of prescription requests drops significantly, from hundreds down to less than a few per day, in most cases.

  • This frees-up staff and physician time to care for patients. It also frees up the telephone and fax lines for more urgent matters.

  • In many cases, if a patient is running out of medications, it is time for the patient to come in for a visit anyway, which in turn improves patient care.

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