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HEALTH INSURANCE, GOVERNMENT - Billing - Re-payment to the plan - Grounds for refusal - Prescription drug payment

Monday, March 19, 2018 @ 11:55 AM  

Application by the medical dispensary for judicial review of the respondent’s decision to audit its accounts and recover alleged overpayments. The respondent was the agent of the province who administered the provincial prescription drug plan. Under the plan, pharmacies could claim dispensing fees only every 28 days per patient per drug, unless certain exceptions applied. The applicant was devoted to serving patients who were recovering from addictions, so most of its patients met the requirements for more frequent drug dispensing. The respondent conducted an audit and...