Codes / Indications RAMQ

EN23

When a sulfonylurea is not tolerated or ineffective.

  • Amaryl®

EN167

For the treatment of people with type 2 diabetes:
- As monotherapy when metformin and a sulfonylurea are contraindicated or not tolerated.

  • Invokana®
  • Januvia®
  • Jardiance®
  • Nesina®
  • Trajenta®

EN148

For the treatment of people with type 2 diabetes:
- In combination with metformin, when a sulfonylurea is contraindicated, not tolerated or ineffective.

  • Invokana®
  • Onglyza®
  • Januvia®
  • Jardiance®
  • Nesina®
  • Forxiga®

EN149

For the treatment of people with type 2 diabetes:
- In combination with a sulfonylurea, when metformin is contraindicated, not tolerated or ineffective.

  • Invokana®
  • Onglyza®
  • Nesina®
  • Forxiga®

EN150

For the treatment of people with type 2 diabetes:
When a sulfonylurea is contraindicated, not tolerated or ineffective; AND
- When the daily doses of metformin have been stable for at least a month.

  • Janumet®
  • Janumet®XR
  • Komboglyze®
  • JentaduetoTM
  • KazanoTM
  • Xigduo®

EN179

For the treatment of type 2 diabetes, in combination with one or more antidiabetic agents, in persons with a history of atherosclerotic heart disease (ASIC) or atherosclerotic vascular disease (ASK) and whose glycated hemoglobin (HbA1c) is ≥ 7%.

The nature of atherosclerotic heart disease (MCAS) or atherosclerotic vascular disease (MVAS) should be provided upon request by the Régie.

  • Jardiance®

EN219

For the treatment of people with type 2 diabetes whose optimal maximum dose of metformin has been stable for at least one month.
Individuals must also meet the requirements of the recognized indication for the payment of empagliflozin.

  • SynjardyTM

Endocrinology (2019-10-02) (FR) Complete List (2019-10-02) (FR)

Freestyle LibreTM

Autorisation of payment formulary RAMQ Eligibilty criteria et renewal

NIHB Canada (Non-Insured Health Benefits)

Drug Benefit List January 2019

Patient Exception

Form

Form

Reimbursement
(exception drugs)

Ozempic®

For the treatment of people with type 2 diabetes:

  • In combination with metformin, for the treatment of people with type 2 diabetes.
  • When a sulfonylurea is contraindicated, not tolerated or ineffective.
  • Authorization is given for a maximum weekly dose of 1mg.
  • Inefficacy means non-achievement of an HbA1c value tailored to the patient.

To note:

  • Unlike other GLP-1RA (Victoza and Trulicity), your patients do not need to have tried an iDPP4 or have a BMI > 30 to start treatment.
  • Both doses (0.5mg and 1mg) are reimbursed.


Victoza®

For the treatment of people with type 2 diabetes:

  • In combination with metformin, for the treatment of people with type 2 diabetes with inadequate glycemic control and with a body mass index (BMI) above 30 kg/m2.
  • When a DPP-4 inhibitor is contraindicated, not tolerated or ineffective.
  • The maximum duration of each authorization is 12 months.
  • At the time of the first request to extend treatment, the physician is required to provide proof of benefit through a glycosylated hemoglobin (HbA1c) reduction of at least 0.5% or through the achievement of a target value of 7% or less.
  • Authorization is given for a maximum daily dose of 1.8 mg.
  • Inefficacy means non-achievement of an HbA1c value tailored to the patient.

Trulicity®

For the treatment of people with type 2 diabetes:

  • In combination with metformin, for the treatment of people with type 2 diabetes with inadequate glycemic control and with a body mass index (BMI) above 30 kg/m2.
  • When a DPP-4 inhibitor is contraindicated, not tolerated or ineffective.
  • The maximum duration of each authorization is 12 months.
  • At the time of the first request to extend treatment, the physician is required to provide proof of benefit through a glycosylated hemoglobin (HbA1c) reduction of at least 0.5% or through the achievement of a target value of 7% or less.
  • Authorization is given for a maximum daily dose of 1.5 mg.
  • Inefficacy means non-achievement of an HbA1c value tailored to the patient.

BasaglarMC / Levemir® / Toujeo® / Tresiba®

For the treatment of diabetes when a prior trial with intermediate-acting insulin did not adequately control the glycemic profile without causing an episode of serious hypoglycemia or frequent episodes of hypoglycemia.


Degludec U100 et U200
Tresiba®
Detemir
Levemir®
Dulaglutide
Trulicity®
Glargine
BasaglarTM
Glargine U300
Toujeo®
Liraglutide
Victoza®
Semaglutide
Ozempic®

Strips

Reimbursement and Coding (FR) Update 2017 (2017-11-15) (FR)

2019-11-16

Video


2019-11-14

GLP-1RA / Coverage


2019-11-10

Medical Advisor

  • Dr. Jean-François Yale
    Endocrinologist CSPQ,FRCPC
    Professor of medecin and senior researcher
    McGill University Health Center(MUHC)/LMC at Glen site

    jean-francois.yale@mcgill.ca
    Dr. Yale joins the team as a medical advisor

2019-11-10

Ressources


2019-11-03

Blood Glucose Monitoring


2019-10-27

Drug and Renal Function

Blood Glucose Monitoring

  • Freestyle LibreTM now working on Android


2019-10-02

Coverage


2019-10-10

Resources

Education

  • Nasal Glucagon BaqsimiTM - Health Canada Approval September 25 th
  • Nasal Glucagon BaqsimiTM - Information
  • Nasal Glucagon BaqsimiTM - Monograph

2019-10-03

Resources


2019-09-15

Blood Glucose Monitoring


2019-09-02

Education / Hypoglycemia / Glucagon


2019-08-15

Coverage

  • Glargine U300 Toujeo® now covered by the Quebec Health Insurance Board (RAMQ) according to certain criteria

2019-08-04

Blood Glucose Monitoring

  • Update of the Intercative Guide
  • Update of the Comparison Charts (PDF)

2019-07-19

Coverage

  • The FreeStyle LibreTM glucose monitoring flash system is now covered by the Quebec Health Insurance Board (RAMQ) according to certain criteria (see Coverage or Blood Glucose Monitoring tab)
  • RAMQ Codes update (PDF)

2019-06-20

GLP-1RA

  • Semaglutide Ozempic®
    New 4 mg flextouch maintenance pen. The 2 mg pen for the maintenance dose is no longer available

2019-06-10

Sick day

  • Update of the Jessie Haggai tool (PDF)

2019-05-31

Coverage

  • RAMQ Codes update (PDF)

2019-04-30

Drug and Renal Function

  • Update of the Renal Function Adjustment Chart

2019-04-11

Coverage

  • RAMQ Codes update (PDF)

2019-03-20

Blood Glucose Monitoring

  • New - Tab now completed

2019-03-07

Coverage

  • RAMQ Codes update (PDF)

2019-02-01

Coverage

  • RAMQ Codes update (PDF)

2018-12-19

Coverage

  • RAMQ Codes update (PDF)
  • SynjardyTM now code EN219

2018-11-23

Coverage

  • RAMQ Codes update (PDF)
  • Xigduo® and SynjardyTM now code EN150

2018-10-20

SGLT2

  • Adding - Ertugliflozin SteglatroTM
  • Adding - Ertugliflozin and Metformin SeglurometTM
  • Adding - Ertugliflozin and Sitagliptin SteglujanTM

Drug and Renal Function

  • New Chart Adjustment of the Medication with Renal Insufficiency

2018-10-01

Full update of the application

New

  • Addition of a search function
  • Overall improvement of performance and stability
  • Available soon for all Canadian provinces (in English only)

2018-09-27

Coverage

  • RAMQ Codes update (PDF) - Jardiance® now three codes EN148 - EN167 and EN179
  • Xigduo® and SynjardyTM now code EN199
  • Trajenta® now code EN148 and EN167
  • Degludec U100 and U200 now exception drugs (form)

2018-06-23

GLP-1RA

  • New document - Titration Protocol (Victoza® - Ozempic®- Trulicity® - AdlyxineTM)

2018-06-14

Drug and Renal Function

  • Update of the Renal Function Adjustment Chart

2018-05-26

Coverage

  • RAMQ Codes update (PDF) - Invokana® now three codes EN148, EN149 and EN167

2018-04-25

Lifestyle

  • New document - Meal and Physical Activity Log (PDF)

Insulin

  • New document - Basal Insulin Adjustments (PDF)

2018-04-15

Diabetes Canada

  • New Diabetes Canadian Guidelines as April 9, 2018

Drug and Renal function

  • New Chart Adjustment of the Medication with Renal Insufficiency

Classes

  • New Vascular Protection Data for SGLT2 and GLP-1RA classes

- How can I add the app to the home screen of my mobile device?

To get the procedure to add this app, select the button corresponding to your mobile device. Note that the procedure may be slightly different depending on the version of the operating system used.

iPhone / iPad Android

- Do I have to download the application to be able to use it?

No. The application is hosted on a server and accessible via a web browser. The technologies used to develop this web application are the same as those used for the creation of websites. You can add a shortcut to the home screen of your mobile device.


- Does the application also work on my computer?

Yes. Although this application targets mobile devices first it will run properly on most modern web browsers (Mac and PC).


- The application does not seem to work normally.

Make sure Javascript is enabled in your device's web browser (usually enabled by default).


- How can I search for information in the app?

A search engine is located on the homepage below the navigation bar. You can clean the field by typing a new request or by using the to the right of the search button.


Steve Chalifoux
B.Sc. Nursing, CDE

Steve We try to provide you with the most accurate and up-to-date diabetes resource. Do not hesitate to send us your comments.

Contact me
Medical Advisor

Dr. Jean-François Yale Dr.Yale
Endocrinologist CSPQ,FRCPC
Professor of medecin and senior researcher
McGill University Health Center (MUHC)/LMC at Glen site

jean-francois.yale@mcgill.ca
Collaborators
Benoit
Bouchard

Web Development

Benoit

Sarah
Blunden

PDt. CDE CPT, Dt.P EAD FAP

Sarah