{"id":2008,"date":"2025-09-22T15:33:42","date_gmt":"2025-09-22T19:33:42","guid":{"rendered":"https:\/\/johnstonesbenefits.com\/clients\/ila\/?p=2008"},"modified":"2025-08-22T15:34:08","modified_gmt":"2025-08-22T19:34:08","slug":"drug-trends","status":"publish","type":"post","link":"https:\/\/johnstonesbenefits.com\/clients\/ila\/drug-trends\/","title":{"rendered":"Drug Trends"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_heading-2d9bbcf79d50a3601923aa8844f713a6\">\n#top .av-special-heading.av-av_heading-2d9bbcf79d50a3601923aa8844f713a6{\npadding-bottom:10px;\nfont-size:4vw;\n}\nbody .av-special-heading.av-av_heading-2d9bbcf79d50a3601923aa8844f713a6 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-av_heading-2d9bbcf79d50a3601923aa8844f713a6 .av-special-heading-tag{\nfont-size:4vw;\n}\n.av-special-heading.av-av_heading-2d9bbcf79d50a3601923aa8844f713a6 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-av_heading-2d9bbcf79d50a3601923aa8844f713a6 av-special-heading-h2 blockquote modern-quote  avia-builder-el-0  el_before_av_hr  avia-builder-el-first  av-inherit-size'><h2 class='av-special-heading-tag'  itemprop=\"headline\"  >The Journal<\/h2><div class='av-subheading av-subheading_below'><p>Solid Group Plans Made Simple<\/p>\n<\/div><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<div  class='hr av-av_hr-f04ef840c2b66cff6c43fead44ee8d66 hr-default  avia-builder-el-1  el_after_av_heading  el_before_av_heading '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-men889hs-baa81a5f5959104b67e6895746960b5d\">\n#top .av-special-heading.av-men889hs-baa81a5f5959104b67e6895746960b5d{\npadding-bottom:10px;\ncolor:#c4a106;\nfont-size:3vw;\n}\nbody .av-special-heading.av-men889hs-baa81a5f5959104b67e6895746960b5d .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-men889hs-baa81a5f5959104b67e6895746960b5d .av-special-heading-tag{\nfont-size:3vw;\n}\n.av-special-heading.av-men889hs-baa81a5f5959104b67e6895746960b5d .special-heading-inner-border{\nborder-color:#c4a106;\n}\n.av-special-heading.av-men889hs-baa81a5f5959104b67e6895746960b5d .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-men889hs-baa81a5f5959104b67e6895746960b5d av-special-heading-h2 custom-color-heading blockquote modern-quote  avia-builder-el-2  el_after_av_hr  el_before_av_hr  av-inherit-size'><h2 class='av-special-heading-tag'  itemprop=\"headline\"  >Drug Trends<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_hr-8ddc7023771561a08c2d1878cbb01bdc\">\n#top .hr.hr-invisible.av-av_hr-8ddc7023771561a08c2d1878cbb01bdc{\nheight:30px;\n}\n<\/style>\n<div  class='hr av-av_hr-8ddc7023771561a08c2d1878cbb01bdc hr-invisible  avia-builder-el-3  el_after_av_heading  el_before_av_one_full '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_one_full-7688609b370c0fc22d37f41de2668996\">\n.flex_column.av-av_one_full-7688609b370c0fc22d37f41de2668996{\nborder-radius:0px 0px 0px 0px;\n-webkit-border-radius:0px 0px 0px 0px;\n-moz-border-radius:0px 0px 0px 0px;\n}\n<\/style>\n<div class='flex_column av-av_one_full-7688609b370c0fc22d37f41de2668996 av_one_full  avia-builder-el-4  el_after_av_hr  avia-builder-el-last  first flex_column_div av-zero-column-padding '   ><section  class='av_textblock_section av-men896jy-45d825d0e880e2aa9e22d6a182dd858a'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p><a href=\"https:\/\/johnstonesbenefits.com\/clients\/ila\/wp-content\/uploads\/2025\/08\/2025_09-Drug-Trends.pdf\" target=\"_blank\" rel=\"noopener\">Click here to download pdf<\/a><\/p>\n<p>The annual TELUS Health Conference was held on April 29. 2025. Their reports on the key topics are now available. Not surprisingly, in the era of technology and now AI, much focus was on themes of connected care, and digital innovation and transformation initiatives, in addition to drug trends and national benchmarks.<\/p>\n<p>This month\u2019s Journal highlights some of the reported key drug trends that are impacting Canadian group insurance health plans. We note that medical inflation continues to affect health plan costs, much as it has in the past few years. There are, however, some interesting areas of health trends addressed by the TELUS Health reports that we want to share. More detailed information in all the topics discussed at the conference can be found at telus.com\/en\/health\/annual-conference#future-connected-care.<\/p>\n<p><strong>Generic Medications<\/strong><\/p>\n<p>Their share of the prescription claims grew slightly in 2024, to just beyond two-thirds. Generics do not yet exist for most of the remaining prescriptions.<\/p>\n<p><strong>Biosimilar Drugs<\/strong><\/p>\n<p>By the end of 2024, public-plan switching policies were in place across Canada. The share of claimants in private plans who took a biosimilar was 56.9%, up from 44.6% in 2023. Of interest, fewer than one in 10 claimants for a biologic drug were using a biosimilar at the start of 2019.<\/p>\n<p>Health Canada defines a \u201cbiosimilar\u201d as a biologic drug that is highly similar to a biologic drug that was already authorized for sale. The biosimilar is produced after patent expiry of the reference biologic drug. A \u201creference biologic\u201d is defined as first-on-market, large-molecule drug that comes from living organisms or from their cells, also referred to as an \u201coriginator\u201d or \u201cinnovator\u201d biologic.<\/p>\n<p><strong>Specialty Drugs<\/strong><\/p>\n<p>After two years of no growth, specialty drugs\u2019 share of spending by private plans resumed its upward trek. Making up just 1.9% of claimants, specialty drugs accounted for 32.8% of total eligible costs in 2024.<\/p>\n<p><strong>Diabetes (including devices) <\/strong><\/p>\n<p>Diabetes is the top category of prescriptions, remaining well ahead of the runner-up category of inflammatory disease and the third category of skin disorders. Supply issues and a shift in prescribing patterns are behind the decline in the diabetes category (ie. Ozempic). In addition, the growing use of more effective glucose monitoring devices is also an important factor. Flash glucose monitors and continuous blood glucose monitors, which use 24\/7 wearable devices and are more than twice the price of first-generation monitors.<\/p>\n<p>Note, the next four categories are well behind the top three, but within striking distance of each other. The category for attention deficit hyperactivity disorder (ADHD) ranked fourth with a share of 5.6%, just ahead of the categories for depression (5.3%) and asthma (5.1%).<\/p>\n<p><strong>Weight Management Drugs<\/strong><\/p>\n<p>Once a peripheral category, weight management has surged from 54th place in 2016 to 17th place in 2024. In just the past year, claims jumped 90.6%, driven by the launch of Wegovy and a growing recognition of obesity as a chronic disease.<\/p>\n<p><strong>Migraine Drugs<\/strong><\/p>\n<p>This category is setting a rapid pace, growing from 23rd to 19th.<\/p>\n<p>By 2023, the new migraine drug class known as CGRPs was available in both injection and oral formats. Two are indicated for the alleviation of acute migraine and the third is the first oral drug for the prevention of migraine. CGRPs are indicated for those who suffer most from migraines, ie. those with episodic (between four and 14 in a month) or chronic (15 or more a month) migraines. This translates into a quarter of the total patient population of approximately 3.3 million Canadians\u2014and enough of these people began taking a CGRP to grow the market.<\/p>\n<p><strong>Alzheimer\u2019s Drugs<\/strong><\/p>\n<p>This disease does not normally cross paths with private drug plans\u2014but that will soon change. The first drugs that slow the progression of Alzheimer\u2019s disease are due to arrive in Canada and the small subset of patients diagnosed in their 40s, 50s and 60s will surely see these medications as a lifeline\u2014and turn to their private plan for coverage.<\/p>\n<p><strong>Jurisdictional Factors<\/strong><\/p>\n<p>Government policies, dispensing practices and the model for public coverage specific to each province and territory drive important regional variations in eligible amounts and utilization. The number of claims was a bigger driver of growth in the overall cost of drugs in Atlantic Canada, Ontario and Western Canada, while the average amount per claim was a bigger driver in Quebec. Regional variations also reflect the influence of public drug plans, resulting in, for example, a higher number of claims per claimant but a lower average amount per claim in Quebec. In Western Canada, the Pharmacare plans in British Columbia and Manitoba and the universal drug plan in Saskatchewan resulted in much lower annual amounts per claimant.<\/p>\n<p><strong>SICK NOTES\u2026CHANGES ARE COMING <\/strong><\/p>\n<p>It is estimated that over 1.6 million sick notes were written by BC doctors in 2024.<\/p>\n<p>To help reduce the administrative burden on BC\u2019s healthcare providers, the provincial government has proposed legislation to update the Employment Standards Act by removing the requirement of sick notes for short-term absences from work.<\/p>\n<p>Currently, the act allows employers to request \u201creasonably sufficient proof\u201d of illness, which may include a sick note. One of the proposed changes clarifies that employers cannot request \u2013 and employees are not required to provide \u2013 a sick note for a short-term absence.<\/p>\n<p>New regulations will define what qualifies as a short-term absence and how frequently an employee can be absent before a sick note may be required. These changes are expected to take effect in the fall of 2025, prior to the respiratory illnesses season.<\/p>\n<p>In addition to addressing unnecessary sick notes, the regulation update includes replacing fax and paper-based processes with digital systems, streamlining referral processes, consolidating and standardizing forms, and improving information-sharing between providers. As reported by the provincial health ministry, changes are also being implemented related to the scheduling of medical imaging appointments, which are anticipated to save more than 180,000 physician hours per year.<\/p>\n<\/div><\/section><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-2008","post","type-post","status-publish","format-standard","hentry","category-news"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\r\n<title>Drug Trends - Johnstone&#039;s Benefits<\/title>\r\n<meta name=\"description\" content=\"Johnstone&#039;s Benefits provides simple employee insurance benefit programs for large and small business.\" \/>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"https:\/\/johnstonesbenefits.com\/clients\/ila\/drug-trends\/\" \/>\r\n<meta property=\"og:locale\" content=\"en_US\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"Drug Trends - 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